| Doctor Name: | ALEXUS MARES |
| NPI Number: | 1184013849 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 11643 Glenoaks Blvd Pacoima, CA - 913311050 |
| Business Phone Number: | 8188972609 |
| Business Fax Number: | |
| Mailing Address: | 4760 Sepulveda Blvd, CULVER CITY |
| State: | CA |
| Postal Code: | 902304820 |
| Phone Number: | 3103906612 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2015 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |