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Individual

ALEXIS TROCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3517 CAMINO DEL RIO S STE 407, SAN DIEGO, CA 92108
(619) 955-8905
(619) 955-8907
Mailing address
3517 CAMINO DEL RIO S STE 407, SAN DIEGO, CA 92108-4028
(619) 955-8905
(619) 955-8907

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
66700
CA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1841608304
CA
Enumeration date
07/29/2014
Last updated
06/26/2018
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