Individual
MS. ALEXIS VICTORIA MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 S GRAND AVE STE C, SANTA ANA, CA 92705-4402
(714) 567-7634
Mailing address
1300 S GRAND AVE STE C, SANTA ANA, CA 92705-4402
(714) 567-7688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
09/27/2006
Last updated
03/09/2022
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