Individual
ALEXANDRA DATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1401 S TAFT AVE STE 206, LOVELAND, CO 80537-6962
(970) 775-8460
Mailing address
3021 SEDGWICK CIR, LOVELAND, CO 80538-4945
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020301
CO
Other
Enumeration date
04/03/2023
Last updated
10/11/2023
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