Provider Demographics
NPI:1760555700
Name:LANSING, ALISON ROSE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:ROSE
Last Name:LANSING
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49063 ROAD 426 STE E-5
Mailing Address - Street 2:P.O. BOX 2052
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9487
Mailing Address - Country:US
Mailing Address - Phone:559-260-4420
Mailing Address - Fax:559-642-4401
Practice Address - Street 1:49063 ROAD 426 STE E-5
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9487
Practice Address - Country:US
Practice Address - Phone:559-260-4420
Practice Address - Fax:559-642-4401
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC35699101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health