Provider Demographics
NPI:1013100924
Name:ALSALEEM, TALAL H (LMFT)
Entity Type:Individual
Prefix:MR
First Name:TALAL
Middle Name:H
Last Name:ALSALEEM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 HAZEL ST
Mailing Address - Street 2:
Mailing Address - City:GRIDLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95948-2409
Mailing Address - Country:US
Mailing Address - Phone:916-779-9939
Mailing Address - Fax:
Practice Address - Street 1:915 HIGHLAND POINTE DR
Practice Address - Street 2:SUITE 250
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5419
Practice Address - Country:US
Practice Address - Phone:916-779-9939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49918106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist