Individual
ALICIA DEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2900 RIVERSIDE DRIVE, UNIT 1, LOS ANGELES, CA 90039
(323) 207-6479
Mailing address
5433 ABBOTT PL APT 7, LOS ANGELES, CA 90042-3300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
119858
CA
101YM0800X
Mental Health Counselor
Primary
133369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119858
AMFT REGISTRATION
CA
01
—
133369
LMFT LICENSE
CA
Enumeration date
11/03/2020
Last updated
11/02/2022
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