Individual
MR. ALEX JOHNNIE BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
23147 VENTURA BLVD, WOODLAND HILLS, CA 91364-1112
(818) 987-7707
Mailing address
23147 VENTURA BLVD, 250, WOODLAND HILLS, CA 91364-0710
(818) 987-7707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC93392
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7184
MEDI-CAL
CA
01
—
7368
MEDI-CAL
CA
01
—
7667
MEDI-CAL
CA
01
—
7708
MEDI-CAL
CA
Enumeration date
06/27/2013
Last updated
03/17/2018
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