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Provider Information for 1255823035


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ALEXANDRA NICOLE NOEL LPC, CSAC, CADC


Sex: Female

NPI: 1255823035
Last Updated: 2018-06-06
Certification Date:

Details

NameValue
NPI1255823035
Enumeration Date2018-06-06
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2581 ELON DR
VIRGINIA BEACH, VA 23454-4353
United States

Phone: 757-240-7593 | Fax:
 
Primary Practice Address 600 CRAWFORD ST STE 220
PORTSMOUTH, VA 23704-3820
United States

Phone: 757-488-4797 | Fax:757-488-4716
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)VA0710103067
Yes 101YM0800X - Counselor - Mental HealthVA0701007068