Individual
ALEXIS KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
1480 159TH AVE, SAN LEANDRO, CA 94578-2052
(510) 303-6235
Mailing address
625 AMBERSTONE LN, SAN RAMON, CA 94582-5741
(510) 303-6235
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
108220
CA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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