Individual
MR. ALEXANDER PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
530 WILSHIRE BLVD STE 306, SANTA MONICA, CA 90401-1426
(424) 501-4016
Mailing address
530 WILSHIRE BLVD STE 306, SANTA MONICA, CA 90401-1426
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
122915
CA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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