Alexis Anderson
Individual provider Active NPI Marriage & Family Therapist · Hesperia, CA
NPI 1467047712 · NPPES record last updated Mar 8, 2021
Key facts
- NPI
- 1467047712
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 116165 (CA)
- Practice address
- 13116 Sunnyvale CT
Hesperia, CA 92344-5548 - Phone
- (760) 646-7763
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116165 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 116165 | CA | Yes |
Addresses
Primary practice location
13116 Sunnyvale CT
Hesperia, CA 92344-5548
Mailing address
13116 Sunnyvale CT
Hesperia, CA 92344-5548
Other providers in Hesperia, CA
- Amazing Grace Hospice Inc
- Amazing Grace Oasis
- Amazing Grace Oasis II
- Amazing Grace Oasis III
- Daisy Lupe Anaya
- Fred L Anderson
- Luisa Daniela Andrade
- Hannah Andrawis
- Andrew J. Lim, DDS, Inc.
- Andruski Family Counseling Inc
All providers in Hesperia, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.