Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Gannon

Individual provider Counselor · NPI 1871965178

Alyssa Gannon is a Counselor in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
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Practice location Address checks out

1401 Los Gamos Dr Ste 240
San Rafael, CA 94903
Phone: (415) 457-1925
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1871965178
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2015
Last updated in NPPESOctober 26, 2015

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