Individual
MR. ALEX R. MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
19900 S MAIN ST, SUITE 4E, CORNELIUS, NC 28031-6512
(704) 506-5944
Mailing address
PO BOX 1791, DAVIDSON, NC 28036-1791
(704) 506-5944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103419
—
NC
Enumeration date
09/07/2006
Last updated
08/14/2009
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