# ALEXANDRA DECLEENE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821487091
- **Authorized official:** ALEXANDRA DECLEENE MFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (424) 234-0128

## Contact information

- **Practice address:** 22653 PCH \#10, MALIBU, CA 90265
- **Practice address phone:** (424) 234-0128
- **Mailing address:** PO BOX 1646, TOPANGA, CA 90290-1646
- **Mailing address phone:** (424) 234-0128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 82559 | CA | Yes |

## Other

- **Enumeration date:** 01/12/2015
- **Last updated:** 02/12/2015