Doctor Name: | ALEXA CLAIRE FILA |
NPI Number: | 1770748808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CASI |
License Number: | |
Business Practice Address: | 5494 Pony Express Trail Pollock Pines, CA - 95726 |
Business Phone Number: | 5306443758 |
Business Fax Number: | 5306443782 |
Mailing Address: | Po Box 586, CAMINO |
State: | CA |
Postal Code: | 957090586 |
Phone Number: | 5306443758 |
Fax Number: | 5306443782 |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 07/29/2008 |
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: |