Individual
ALEXIS RENE VERDUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27261 LAS RAMBLAS STE 220, MISSION VIEJO, CA 92691
(909) 980-6700
Mailing address
963 FORD ST, CORONA, CA 92879-2314
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
116097
CA
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/09/2018
Last updated
01/25/2021
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