Provider Demographics
NPI:1033671391
Name:GASCA, ALYSSA ANN (LMFT)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ANN
Last Name:GASCA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29054 QUAIL BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92584-7525
Mailing Address - Country:US
Mailing Address - Phone:760-680-6693
Mailing Address - Fax:
Practice Address - Street 1:29054 QUAIL BLUFF RD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92584-7525
Practice Address - Country:US
Practice Address - Phone:760-680-6693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138514101YM0800X, 106H00000X
172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No172V00000XOther Service ProvidersCommunity Health Worker