Provider Demographics
NPI:1922026764
Name:SINGER-TELLES, ALEXA (MFT)
Entity Type:Individual
Prefix:MS
First Name:ALEXA
Middle Name:
Last Name:SINGER-TELLES
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:448 REDCLIFF DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002-0100
Mailing Address - Country:US
Mailing Address - Phone:530-246-8317
Mailing Address - Fax:530-245-0329
Practice Address - Street 1:448 REDCLIFF DR.
Practice Address - Street 2:SUITE 104
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-0100
Practice Address - Country:US
Practice Address - Phone:530-246-8317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36227106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist