Provider Demographics
NPI:1710170279
Name:HELLER, ALISON WHITNEY
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:WHITNEY
Last Name:HELLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1342 BONITA AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94709-1925
Mailing Address - Country:US
Mailing Address - Phone:602-373-0940
Mailing Address - Fax:
Practice Address - Street 1:6925 CHABOT RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1921
Practice Address - Country:US
Practice Address - Phone:510-601-6497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-19
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor