Individual
MRS. ALEX NICOLE STAUTZENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
9333 GENESEE AVE STE 200, SAN DIEGO, CA 92121-2113
(858) 657-7000
Mailing address
9500 GILMAN DR # MC0807, LA JOLLA, CA 92093-0807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
129830
CA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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