Individual
ALYSON NICOLE STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LMFT
Contact information
Practice address
1429 N CURSON AVE, SUITE 104, LOS ANGELES, CA 90046-4062
(310) 861-7564
Mailing address
420 S BEVERLY DR, SUITE #100-16, BEVERLY HILLS, CA 90212-4426
(310) 861-7564
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
53325
CA
Other
Enumeration date
01/01/2014
Last updated
01/01/2014
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