Sophia Nicole Alviso
Marriage & Family Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1962020123
StatusActive
Last updated in NPPESMar 10, 2025
Details
- NPI
- 1962020123
- Entity type
- Individual (NPI-1)
- Name
- Sophia Nicole Alviso
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2020
- Certification date
- Mar 10, 2025
- Last updated
- Mar 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 153572 | CA | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 103K00000X | Behavior Analyst | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
5674 W. Olympic Blvd.Los Angeles, CA 90036
Phone 323-965-1365
Mailing address
5675 W Olympic BlvdLos Angeles, CA 90036-4712
Phone 323-965-1365
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