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General NPI Number Information
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NPI Number | 1588057459
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Entity Type | Individual
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Provider Name | ALYSSA KAYE REILLEY HOGUE LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 3050 BEACON BLVD STE 103
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-3467
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Country | US
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Telephone | 916-462-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1380 EAST AVE. STE. 124 #108
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City | CHICO
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State | CA
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Zip | 95926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 113806
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License Number State | CA
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