Provider Demographics
NPI:1588057459
Name:REILLEY HOGUE, ALYSSA KAYE (LMFT)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:KAYE
Last Name:REILLEY HOGUE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:KAYE
Other - Last Name:REILLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1380 EAST AVE. STE. 124
Mailing Address - Street 2:#108
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3050 BEACON BLVD STE 103
Practice Address - Street 2:
Practice Address - City:WEST SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95691-3467
Practice Address - Country:US
Practice Address - Phone:916-462-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA113806106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist