Provider Demographics
NPI:1497461107
Name:TURETZKY, ALEXANDRA LIV (MFT STUDENT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LIV
Last Name:TURETZKY
Suffix:
Gender:F
Credentials:MFT STUDENT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1818 15TH ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-5512
Mailing Address - Country:US
Mailing Address - Phone:925-876-9206
Mailing Address - Fax:
Practice Address - Street 1:1818 15TH ST APT 1
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-5512
Practice Address - Country:US
Practice Address - Phone:925-876-9206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist