Provider Demographics
NPI:1326330556
Name:THURMAN, LETICIA ALEXA (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LETICIA
Middle Name:ALEXA
Last Name:THURMAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:LETICIA
Other - Middle Name:ALEXA
Other - Last Name:ARELLANO-BELLOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA,MFTI
Mailing Address - Street 1:1187 COAST VILLAGE RD
Mailing Address - Street 2:SUITE 268
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2737
Mailing Address - Country:US
Mailing Address - Phone:818-288-3188
Mailing Address - Fax:
Practice Address - Street 1:152 S LASKY DR
Practice Address - Street 2:SUITE 208
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1720
Practice Address - Country:US
Practice Address - Phone:818-288-3188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA91329106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist