Healthcare Provider Details

I. General information

NPI: 1952080277
Provider Name (Legal Business Name): DIEGO GALIAN ALCSER-ISAIS LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2023
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 1ST ST
WOODLAND CA
95695-4023
US

IV. Provider business mailing address

710 E CREEKSIDE CIR
DIXON CA
95620-3115
US

V. Phone/Fax

Practice location:
  • Phone: 530-662-2211
  • Fax:
Mailing address:
  • Phone: 530-219-9293
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14187
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number155163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: