Individual
MISS ALEXIS FAVELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHS
Contact information
Practice address
82675 US HIGHWAY 111, INDIO, CA 92201-5635
(760) 393-3317
Mailing address
43380 SHASTA PL, INDIO, CA 92201-8937
(928) 446-7854
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/11/2016
Last updated
05/21/2024
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