Individual
ALICIA LARA IRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD LMFT
Contact information
Practice address
3602 HOCHMUTH AVE BLDG 6E, SAN DIEGO, CA 92140-0335
(619) 398-7265
Mailing address
3602 HOCHMUTH AVE BLDG 6E, SAN DIEGO, CA 92140-5000
(619) 398-7265
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
49088
CA
Other
Enumeration date
11/17/2006
Last updated
08/28/2024
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