Individual
ALEXA LEE GENESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC-III
Contact information
Practice address
80 E HILLCREST DR STE 110, THOUSAND OAKS, CA 91360-4226
(818) 390-9444
(818) 381-0007
Mailing address
PO BOX 7741, WESTLAKE VILLAGE, CA 91359-7741
(818) 390-9444
(818) 381-0007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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