Individual
DR. ALEXANDRA BROUSTOVETSKAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8303 SIX FORKS RD STE 207, RALEIGH, NC 27615
(919) 245-7791
Mailing address
8303 SIX FORKS RD STE 207, RALEIGH, NC 27615-3094
(919) 245-7791
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
10641
MA
Other
Enumeration date
04/25/2018
Last updated
10/02/2018
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