Individual
ALEXANDRA ALTILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, NCC
Contact information
Practice address
1463 OAKFIELD DR, SUITE 113, BRANDON, FL 33511-3899
(813) 413-1067
(813) 479-0425
Mailing address
4422 E COLUMBUS DR, TAMPA, FL 33605-3233
(813) 413-1067
(813) 479-0425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11182
FL
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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