Individual
ALEXIS MARIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED COUNSELOR
Contact information
Practice address
8030 SOQUEL AVE STE 103, SANTA CRUZ, CA 95062-2096
(831) 476-1747
Mailing address
650 CORCORAN AVE APT 29, SANTA CRUZ, CA 95062-4244
(559) 360-3874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15618
CA
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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