Individual
ALEXIS MINGO-TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 25TH ST, SAN DIEGO, CA 92102-2738
(619) 239-9691
Mailing address
835 25TH ST, SAN DIEGO, CA 92102-2738
(619) 239-9691
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21501
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/12/2025
Last updated
05/19/2025
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