Provider Information for 1962832584
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ALEXIS JAMES LMHC
Sex: Female
NPI: 1962832584
Last Updated: 2024-04-12
Certification Date: 2024-04-12
Certification Date: 2024-04-12
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1962832584 | ||||||||||||
| Enumeration Date | 2013-11-18 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2363 JAMES ST # 652 SYRACUSE, NY 13206-2840 United States Phone: 904-404-5400 | Fax: | ||||||||||||
| Primary Practice Address | 416 MCCLENNAN DR FAYETTEVILLE, NY 13066 United States Phone: 904-404-5400 | Fax: | ||||||||||||
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