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Individual

ALEXIS THAMMASOUK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AMFT

Contact information

Practice address
105 N LINCOLN ST, SANTA MARIA, CA 93458-4319
(805) 928-1707
Mailing address
123 W GUTIERREZ ST, SANTA BARBARA, CA 93101-3424
(805) 965-1001

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
151101
CA

Other

Enumeration date
11/20/2024
Last updated
11/20/2024
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