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Individual

ALEXIS MELISSA RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9864 BALDWIN PL, EL MONTE, CA 91731-2202
(626) 433-1311
Mailing address
9864 BALDWIN PL, EL MONTE, CA 91731-2202
(626) 433-1311

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ASW78039
CA
Enumeration date
09/08/2016
Last updated
03/17/2018
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