Individual
ALYX EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 87315
Contact information
Practice address
995 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4500
(619) 398-2156
Mailing address
995 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW71668
CA
1041C0700X
Clinical Social Worker
Primary
87315
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2014
Last updated
12/31/2018
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