Individual
ALEXANDRA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 PASEO ROSA, SAN CLEMENTE, CA 92673-6506
(949) 309-6528
Mailing address
4 PASEO ROSA, SAN CLEMENTE, CA 92673-6506
(949) 309-6528
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166001403
IL
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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