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Individual

ALEXANDER LOERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
32 S RAYMOND AVE STE 3, PASADENA, CA 91105-1961
(626) 827-8932
Mailing address
535 BROADWAY ST, VENICE, CA 90291-3309
(626) 827-8932

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT88636
CA
106H00000X
Marriage & Family Therapist
IMF88636
CA
106H00000X
Marriage & Family Therapist
Primary
LMFT111380
CA

Other

Enumeration date
03/09/2017
Last updated
01/07/2020
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