Individual
ALEXANDER MOGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34324 YUCAIPA BLVD STE B-C, YUCAIPA, CA 92399-2496
(909) 268-3014
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(909) 268-3014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
03/07/2023
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