Individual
ALEXIS MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 242-5000
Mailing address
11601 S WESTERN AVE, LOS ANGELES, CA 90047-5006
(323) 242-5000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
145078
CA
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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