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ALYSSA GANNON
NPI 1871965178
Counselor in San Rafael, CA

Active since October 26, 2015
1401 LOS GAMOS DRIVE, SUITE 240, SAN RAFAEL, CA 94903(415) 457-1925 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alyssa Gannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYSSA GANNON (NPI 1871965178) is an individual counselor in San Rafael, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1871965178
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameALYSSA GANNON
Location Address1401 LOS GAMOS DRIVE, SUITE 240San Rafael, CA 94903
Mailing Address1950 Matzen Ranch CirclePetaluma, CA 94954 · (530) 524-2451
Phone(415) 457-1925
Sole ProprietorYes
Enumeration DateOctober 26, 2015
✔ NPI 1871965178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1401 LOS GAMOS DRIVE, San Rafael, CA 94903
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIN INDIVIDUAL PRACTICE ASSOCIATION
Clinic/Center (Physical Therapy)
1401 LOS GAMOS DRIVE, SUITE 140
SAN RAFAEL, CA 94903
Marin County (415) 479-7100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyssa Gannon's NPI number?

The NPI number for Alyssa Gannon is 1871965178. It was assigned to this individual provider in the NPPES registry on October 26, 2015.

Where is Alyssa Gannon located?

Alyssa Gannon practices at 1401 Los Gamos Drive Suite 240, San Rafael, CA 94903. The listed phone number is (415) 457-1925.

What is Alyssa Gannon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Alyssa Gannon was last updated on October 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.