Basic Information
| Provider Information | |||||||||
| NPI: | 1538357637 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADLER | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | SARAH | ||||||||
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| Credential: | LMFT, LPCC | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | LERER | ||||||||
| OtherFirstName: | EDITH | ||||||||
| OtherMiddleName: | ALISON | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 611 S PALM CANYON DR | ||||||||
| Address2: | SUITE 7454 | ||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922647213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3109236262 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 7293 DUMOSA AVE | ||||||||
| Address2: | #8 | ||||||||
| City: | YUCCA VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922843700 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7603697166 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2007 | ||||||||
| LastUpdateDate: | 12/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MFC44867 | CA | N | Behavioral Health & Social Service Providers | Counselor | Mental Health | 106H00000X | MFC44867 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
ID Information
| ID | Type | State | Issuer | Description | 12238212 | 01 | CA | CAQH | OTHER |