Individual
ALEXANDER KAIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COUNSOLER
Contact information
Practice address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
(619) 579-1969
Mailing address
1664 BROADWAY, EL CAJON, CA 92021-5201
(619) 579-8685
(619) 579-1969
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
108428
CA
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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