Most Relevant Information
Provider Data
| NPI Number: | 1003386541 |
| Provider Name: | ALENA KUZMENKO |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 6960 |
Most Important Dates
| Enumeration Date: | 11/27/2018 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
112 W Q ST
RIO LINDA
CA
956731211
Practice Location Phone/Fax
| Phone: | 9162255551 |
| Fax: |
Provider Mailing Location
112 W Q ST
RIO LINDA
CA
956731211
Provider Mailing Phone/Fax
| Phone: | 9162255551 |
| Fax: |