Provider Demographics
NPI:1487995510
Name:AQUINTO, ALLISON RENEE (MA)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:RENEE
Last Name:AQUINTO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 EATON CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5051
Mailing Address - Country:US
Mailing Address - Phone:925-550-8654
Mailing Address - Fax:925-827-1122
Practice Address - Street 1:645 EATON CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5051
Practice Address - Country:US
Practice Address - Phone:925-550-8654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT - I 74960106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist