Alex, Nicolle

Alex, Nicolle is an sole proprietor health care provider with primary practice located at 28310 Roadside Dr Ste 203 , Agoura CA 91301-4958. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Alex, Nicolle can be contacted via phone (805) 931-6163.

Contact Information

Primary practice address
28310 Roadside Dr Ste 203 Agoura CA 91301-4958
Phone: (805) 931-6163
Fax: (855) 808-0752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 126051 California

Profile Details

NPI number 1447873088
LBN Legal business name Alex, Nicolle
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2020
Last updated Oct 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447873088 NPPES
California Other 863950337 IRS

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