Individual
ALEXIS KAITLYNN TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-2022
Mailing address
1400 N NORMA ST STE 125, RIDGECREST, CA 93555-2577
(760) 499-2022
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105040
CA
Other
Enumeration date
06/27/2022
Last updated
08/29/2022
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