Individual
MISS ALYSE RENEE DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 LANGSDORF DR STE 200, FULLERTON, CA 92831-3702
(714) 871-9264
Mailing address
7803 PRIMROSE DR, BUENA PARK, CA 90620-2135
(714) 234-6136
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
142957
CA
Other
Enumeration date
05/26/2020
Last updated
12/11/2023
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