Individual
ALEXIS SHAY DETTWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., APCC
Contact information
Practice address
251 LLEWELLYN AVE, CAMPBELL, CA 95008
(408) 335-3318
Mailing address
251 LLEWELLYN AVE, CAMPBELL, CA 95008-1940
(408) 335-3318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
02/13/2019
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