Individual
ALEXANDRA ANNA SAMANTHA MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 4TH ST, PETALUMA, CA 94952-3043
(408) 621-0595
Mailing address
2290 FAIRLAWN CT, SAN JOSE, CA 95125-4932
(408) 621-0595
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/13/2022
Last updated
10/29/2022
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