Individual
ALEXIS GHOLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AMFT
Contact information
Practice address
12424 WILSHIRE BLVD STE 650, LOS ANGELES, CA 90025-1081
(937) 524-3942
Mailing address
4960 LINSCOTT PL APT 4, LOS ANGELES, CA 90016-5420
(937) 524-3942
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
149593
CA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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