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NPI Code Detail

MEDICARE: ALEJANDRA ROSE LMFT

MEDICARE:   ALEJANDRA  ROSE  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistLMFT114539CA

General Provider Information

NPI Number : 1063801371
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRA ROSE LMFT
Provider Business Mailing Address
First Line : 147 PASTO RICO
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2932
Country : US
Telephone Number : 657-215-1624
Fax Number :
Provider Business Practice Location Address
First Line : 147 PASTO RICO
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2932
Country : US
Telephone Number : 657-215-1624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2015
Last Update Date : 01/21/2026

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Directions to “ ALEJANDRA ROSE LMFT” Practice Location

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