Individual
ALEXA LICATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
94 WESTMINSTER TERRACE, BELLOW FALLS, VT 05101-1487
(802) 732-8343
(802) 732-8344
Mailing address
390 RIVER STREET, SPRINGFIELD, VT 05156-2226
(802) 886-4500
(802) 886-4520
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
097.0135794
VT
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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