Individual
MRS. ALEXANDRA RUNDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1555 ST. LUCIE WEST BLVD., SUITE 201, PORT ST. LUCIE, FL 34986
(772) 812-0292
(772) 878-7218
Mailing address
1555 ST. LUCIE WEST BLVD., SUITE 201, PORT ST. LUCIE, FL 34986
(772) 812-0292
(772) 878-7218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 11040
FL
Other
Enumeration date
12/28/2011
Last updated
02/28/2012
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