Individual
ALEXIS SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 W 6TH ST STE 108, CORONA, CA 92882-1642
(888) 662-9378
Mailing address
PO BOX 753, NORCO, CA 92860-0753
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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