Healthcare Provider Details

I. General information

NPI: 1144057290
Provider Name (Legal Business Name): ALMA TERESA SOLIS AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 09/13/2024
Certification Date: 09/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 W GABILAN ST
SALINAS CA
93901-2769
US

IV. Provider business mailing address

PO BOX 845
CHUALAR CA
93925-0845
US

V. Phone/Fax

Practice location:
  • Phone: 831-272-6644
  • Fax:
Mailing address:
  • Phone: 831-512-3501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number139521
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: