NPI 1407362601 · live from the CMS NPI Registry
Chresencia Deidra Alicea
Marriage & Family Therapist in Wilmington, DE. National Provider Identifier 1407362601, active.
NPI record
| NPI | 1407362601 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 5201 W Woodmill Dr Ste 31, Wilmington, DE 19808 |
| Practice phone | 302-753-9650 |
| Mailing address | 1419 Athens Rd, Wilmington, DE 19803 |
| Enumerated | December 26, 2017 |
| Last updated | December 26, 2017 |
| Sole proprietor | Yes |
| Other names | Chresencia Alicea |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | fa-0000009 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.