Individual
ALEXANDER TRIPOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
204 HAMPTON DR, VENICE, CA 90291-2623
(310) 396-6468
Mailing address
204 HAMPTON DR, VENICE, CA 90291-2623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW77854
CA
1041C0700X
Clinical Social Worker
Primary
103914
CA
171M00000X
Case Manager/Care Coordinator
—
CA
Other
Enumeration date
08/12/2014
Last updated
09/16/2021
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