Individual
ALEXIS VICTORIA FAHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11101 W. OLYMPIC BLVD, LOS ANGELES, CA 90064
(424) 392-4652
Mailing address
PO BOX 833, MANHATTAN BEACH, CA 90267-0833
(310) 850-6130
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
127247
CA
Other
Enumeration date
05/18/2021
Last updated
02/03/2022
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