Provider Demographics
NPI:1053925404
Name:RYDQUIST, ALISON POFF (LMFT)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:POFF
Last Name:RYDQUIST
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:ALISON
Other - Middle Name:POFF
Other - Last Name:RYDQUIST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:140 W FRANKLIN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2725
Mailing Address - Country:US
Mailing Address - Phone:209-596-2356
Mailing Address - Fax:
Practice Address - Street 1:140 W FRANKLIN ST STE 203
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2725
Practice Address - Country:US
Practice Address - Phone:209-596-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA138619106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist