Provider Demographics
NPI:1952749343
Name:ALANIS, DAVID (MFT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:ALANIS
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4785 N 1ST ST
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0500
Mailing Address - Country:US
Mailing Address - Phone:559-448-5512
Mailing Address - Fax:559-448-4902
Practice Address - Street 1:4785 N 1ST ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0500
Practice Address - Country:US
Practice Address - Phone:559-448-5512
Practice Address - Fax:559-448-4902
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT87041106H00000X
CA87041106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist