Individual
MR. ALEXANDER EDWARD PERROTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
3450 LICHAU RD, PENNGROVE, CA 94951-8720
(510) 717-1299
Mailing address
3450 LICHAU RD, PENNGROVE, CA 94951-8720
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF75766
CA
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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