Provider Demographics
NPI:1447551098
Name:KING, ALINA TSVET (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:ALINA
Middle Name:TSVET
Last Name:KING
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ALINA
Other - Middle Name:L
Other - Last Name:TSVET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2919
Mailing Address - Country:US
Mailing Address - Phone:510-917-9350
Mailing Address - Fax:
Practice Address - Street 1:310 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2919
Practice Address - Country:US
Practice Address - Phone:510-917-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-13
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86219106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA86219OtherLMFT
CAMFTI 64578OtherBBS