Organization
ALEXANDRA DECLEENE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA DECLEENE MFT (MARRIAGE AND FAMILY THERAPIST)
(424) 234-0128
Entity
Organization
Contact information
Practice address
22653 PCH #10, MALIBU, CA 90265
(424) 234-0128
Mailing address
PO BOX 1646, TOPANGA, CA 90290-1646
(424) 234-0128
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
82559
CA
Other
Enumeration date
01/12/2015
Last updated
02/12/2015
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