Individual
ALEXIS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9445 FARNHAM ST STE 100, SAN DIEGO, CA 92123-1308
(619) 929-4260
Mailing address
9445 FARNHAM ST STE 100, SAN DIEGO, CA 92123-1308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2016
Last updated
04/04/2023
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