ALICE TASSIE PROVOST

DAVIS, CA
NPI1285962514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC38081)
Enumeration Date2009-11-24
Last Update Date2009-11-24
Business Address
Ms. ALICE TASSIE PROVOST MFT
112 A ST
DAVIS, CA 95616-4608
Phone number: 530-752-2727
Mailing Address
Ms. ALICE TASSIE PROVOST MFT
112 A ST
DAVIS, CA 95616-4608
Phone number: 530-752-2727