Provider Demographics
NPI:1538357637
Name:ADLER, ALISON SARAH (LMFT, LPCC)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:SARAH
Last Name:ADLER
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:
Other - First Name:EDITH
Other - Middle Name:ALISON
Other - Last Name:LERER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 S PALM CANYON DR
Mailing Address - Street 2:SUITE 7454
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92264-7213
Mailing Address - Country:US
Mailing Address - Phone:310-923-6262
Mailing Address - Fax:
Practice Address - Street 1:7293 DUMOSA AVE
Practice Address - Street 2:#8
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284-3700
Practice Address - Country:US
Practice Address - Phone:760-369-7166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC44867101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA12238212OtherCAQH