Most Relevant Information
Provider Data
| NPI Number: | 1003682493 |
| Provider Name: | STACEY ALONZO |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 138246 |
Most Important Dates
| Enumeration Date: | 11/28/2023 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
700 FREDERICK ST STE 103
SANTA CRUZ
CA
950622239
Practice Location Phone/Fax
| Phone: | 8319961222 |
| Fax: |
Provider Mailing Location
PO BOX 2527
SANTA CRUZ
CA
950632527
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |