Healthcare Provider Details

I. General information

NPI: 1144779109
Provider Name (Legal Business Name): ALEXANDRIA MARGARET TUOMAINEN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2016
Last Update Date: 06/11/2021
Certification Date: 06/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3845 SPRING DR STE 16
SPRING VALLEY CA
91977-1030
US

IV. Provider business mailing address

13136 TRAIL DUST AVE
SAN DIEGO CA
92129-2455
US

V. Phone/Fax

Practice location:
  • Phone: 619-797-1090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT106823
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number122917
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: