Healthcare Provider Details

I. General information

NPI: 1114742665
Provider Name (Legal Business Name): ALANNA ESQUEJO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 S L ST
LIVERMORE CA
94550-4412
US

IV. Provider business mailing address

326 S L ST
LIVERMORE CA
94550-4412
US

V. Phone/Fax

Practice location:
  • Phone: 209-224-6907
  • Fax:
Mailing address:
  • Phone: 209-224-6907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number151443
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: