Individual
ALEXANDRA DE CASTRO BASTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Mailing address
9808 VENICE BLVD STE 700, CULVER CITY, CA 90232-6824
(310) 945-3350
(310) 945-3356
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
101105
CA
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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