Individual
ALEXANDRA GACKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
28 S COLLEGE AVE STE 4A, FAYETTEVILLE, AR 72701-5344
(913) 669-8795
Mailing address
28 S COLLEGE AVE STE 4A, FAYETTEVILLE, AR 72701-5344
(913) 669-8795
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2109013
AR
101YP2500X
Professional Counselor
Primary
P2403020
AR
Other
Enumeration date
02/19/2024
Last updated
04/11/2024
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