Healthcare Provider Details

I. General information

NPI: 1639802440
Provider Name (Legal Business Name): ALISHA CHRISTINE KINGSLEY LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2022
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24398 EL MOLINA AVE
VALENCIA CA
91355-6039
US

IV. Provider business mailing address

24398 EL MOLINA AVE
VALENCIA CA
91355-6039
US

V. Phone/Fax

Practice location:
  • Phone: 661-208-6085
  • Fax:
Mailing address:
  • Phone: 661-208-6085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number130579
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: