Individual
MISS ALEXA JEANINE BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., APCC
Contact information
Practice address
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507-6035
(951) 682-1488
(951) 682-1485
Mailing address
5051 CANYON CREST DR STE 204, RIVERSIDE, CA 92507-6035
(951) 682-1488
(951) 682-1485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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