Provider Demographics
NPI:1346867470
Name:ALONSO, KARLA ALEJANDRA (LMFT)
Entity type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:ALEJANDRA
Last Name:ALONSO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 GESNER ST STE 215
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-6677
Mailing Address - Country:US
Mailing Address - Phone:619-324-8368
Mailing Address - Fax:
Practice Address - Street 1:4305 GESNER ST STE 215
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-6677
Practice Address - Country:US
Practice Address - Phone:619-324-8368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-06
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122579106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist