Individual
ALEX JR NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12810 HEACOCK ST STE B202, MORENO VALLEY, CA 92553-2873
(951) 247-6542
Mailing address
12810 HEACOCK ST STE B202, MORENO VALLEY, CA 92553-2873
(951) 247-6542
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106H00000X
—
CA
Enumeration date
07/16/2018
Last updated
07/16/2018
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