Provider Demographics
NPI:1972922946
Name:ALESSI, ADAM
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:ALESSI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 J ST APT 311
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-3944
Mailing Address - Country:US
Mailing Address - Phone:925-818-3583
Mailing Address - Fax:
Practice Address - Street 1:2309 PLATT DR
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-5018
Practice Address - Country:US
Practice Address - Phone:925-229-2318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)