Healthcare Provider Details

I. General information

NPI: 1134840424
Provider Name (Legal Business Name): ALEXANDRIA CHRISTOPULOS MA, BA, AA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEXI CHRISTOPULOS

II. Dates (important events)

Enumeration Date: 09/06/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 S 5TH ST
SAN JOSE CA
95112-5636
US

IV. Provider business mailing address

1758 FLICKINGER PL
SAN JOSE CA
95131-1992
US

V. Phone/Fax

Practice location:
  • Phone: 408-457-6284
  • Fax:
Mailing address:
  • Phone: 510-552-9350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: