Healthcare Provider Details

I. General information

NPI: 1154142370
Provider Name (Legal Business Name): ALANNA KRINARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2403 PROFESSIONAL DR
SANTA ROSA CA
95403-3007
US

IV. Provider business mailing address

682 PETALUMA AVE
SEBASTOPOL CA
95472-4217
US

V. Phone/Fax

Practice location:
  • Phone: 707-544-3295
  • Fax:
Mailing address:
  • Phone: 707-529-7049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC21801
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161176
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: