Individual
ALEXSA WICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFTI85297
Contact information
Practice address
4151 E FOUNTAIN ST, LONG BEACH, CA 90804-3023
(562) 719-9250
Mailing address
4151 E FOUNTAIN ST, LONG BEACH, CA 90804-3023
(562) 719-9250
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTI85297
CA
Other
Enumeration date
06/16/2015
Last updated
07/22/2015
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