Provider Demographics
NPI:1528259868
Name:ARCZYNSKI, ALEXIS VICTORIA (MS, MFT INTERN)
Entity type:Individual
Prefix:MS
First Name:ALEXIS
Middle Name:VICTORIA
Last Name:ARCZYNSKI
Suffix:
Gender:F
Credentials:MS, MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 S GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91790-4923
Mailing Address - Country:US
Mailing Address - Phone:626-814-9085
Mailing Address - Fax:626-960-9125
Practice Address - Street 1:1107 S GLENDORA AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4923
Practice Address - Country:US
Practice Address - Phone:626-814-9085
Practice Address - Fax:626-960-9125
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 53135101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health