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Organization
RENEGADE LOVE MARRIAGE AND INTIMACY THERAPY PROFESSIONAL CORPORATION
Active
Organization
RENEGADE LOVE MARRIAGE AND INTIMACY THERAPY PROFESSIONAL CORPORATION
Active
Other names
Renegade Love Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXUS MARTINEZ PHD, LMFT, CST (CEO)
(714) 454-3072
Entity
Organization
Contact information
Practice address
13340 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5108
(714) 454-3072
Mailing address
13340 W WASHINGTON BLVD, LOS ANGELES, CA 90066-5108
(714) 454-3072
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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