Individual
MS. ALEXANDRA MIRIAM JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
560 1ST ST STE A203, BENICIA, CA 94510-3299
(510) 629-1448
Mailing address
3823 V ST STE 1, SACRAMENTO, CA 95817-1350
(510) 244-3966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
143648
CA
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2017
Last updated
11/19/2024
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