Individual
ALEXIS C NICODEMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10419 OLD PLACERVILLE RD, SACRAMENTO, CA 95827-2509
(916) 366-0647
Mailing address
10419 OLD PLACERVILLE RD, SACRAMENTO, CA 95827-2509
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
LMFT134809
CA
Other
Enumeration date
09/22/2020
Last updated
01/25/2023
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