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Individual
ALICIA DEWELL
Active
Individual
ALICIA DEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
119858
CA
101YM0800X
Mental Health Counselor
Primary
133369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119858
AMFT REGISTRATION
CA
01
—
133369
LMFT LICENSE
CA
Enumeration date
11/03/2020
Last updated
11/02/2022
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