Provider Demographics
NPI:1720733314
Name:TABARRACCI, ALLISON ELISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ELISE
Last Name:TABARRACCI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 GLASGOW AVE
Mailing Address - Street 2:
Mailing Address - City:CARDIFF
Mailing Address - State:CA
Mailing Address - Zip Code:92007-1626
Mailing Address - Country:US
Mailing Address - Phone:209-201-5552
Mailing Address - Fax:
Practice Address - Street 1:1931 GLASGOW AVE
Practice Address - Street 2:
Practice Address - City:CARDIFF
Practice Address - State:CA
Practice Address - Zip Code:92007-1626
Practice Address - Country:US
Practice Address - Phone:209-201-5552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health