Provider Demographics
NPI:1356158810
Name:STERN, ALEXANDRA LOUISE (LPCC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LOUISE
Last Name:STERN
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:LOUISE
Other - Last Name:LOEWY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3662 GOODLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2310
Mailing Address - Country:US
Mailing Address - Phone:818-802-0023
Mailing Address - Fax:
Practice Address - Street 1:3662 GOODLAND AVE
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2310
Practice Address - Country:US
Practice Address - Phone:818-802-0023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC15882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health