Individual
ALEXA NICOLEYSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
5450 RALSTON ST STE 205, VENTURA, CA 93003-6042
(805) 701-1021
Mailing address
5450 RALSTON ST STE 205, VENTURA, CA 93003-6042
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
152794
CA
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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