Healthcare Provider Details

I. General information

NPI: 1518216522
Provider Name (Legal Business Name): ALANA ROSE CERICOLA ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 11/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 COHASSET RD STE 15
CHICO CA
95926-2260
US

IV. Provider business mailing address

2275 ARLINGTON DR
SAN LEANDRO CA
94578-1132
US

V. Phone/Fax

Practice location:
  • Phone: 530-895-6669
  • Fax:
Mailing address:
  • Phone: 510-481-1222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number64257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: