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Individual

MISS ALEXIS JEANNETTE ISAAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, NCC

Contact information

Practice address
419 RUTHERFORD AVE NE, PO BOX #12204, ROANOKE, VA 24022
(540) 315-8333
Mailing address
419 RUTHERFORD AVE NE, PO BOX #12204, ROANOKE, VA 24022
(540) 315-8333

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0704016097
VA

Other

Enumeration date
02/19/2021
Last updated
08/27/2025
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