Individual
MS. ALICE MARINA LYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1137 SECOND STREET, SUITE 204, SANTA MONICA, CA 90403
(310) 395-0999
Mailing address
1137 SECOND STREET, SUITE 204, SANTA MONICA, CA 90403
(310) 395-0999
(310) 454-6290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT7784
CA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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