Individual
ALEXANDRA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 87105, SAN DIEGO, CA 92138-7105
(619) 857-0700
Mailing address
PO BOX 87105, SAN DIEGO, CA 92138-7105
(619) 857-0700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AMFT102060
CA
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
AMFT102060
CA
Other
Enumeration date
07/25/2019
Last updated
04/05/2024
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