Healthcare Provider Details

I. General information

NPI: 1336006824
Provider Name (Legal Business Name): ALISSA PATTISON AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 3RD ST STE 33
EUREKA CA
95501-0460
US

IV. Provider business mailing address

PO BOX 5184
ARCATA CA
95518-5184
US

V. Phone/Fax

Practice location:
  • Phone: 707-335-9521
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT160817
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: