Individual
ALEXIS GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 VINE ST, LOS ANGELES, CA 90028-5250
(310) 526-7505
Mailing address
1309 SEPULVEDA BLVD APT 202, TORRANCE, CA 90501-3459
(901) 921-1126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11418
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/12/2019
Last updated
01/10/2024
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