Individual
MARY ALEXINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, LAC
Contact information
Practice address
723 5TH AVE E STE 138, KALISPELL, MT 59901-5326
(406) 290-9344
Mailing address
316 SHADY RIVER LN, WHITEFISH, MT 59937-8200
(406) 290-9344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
866
MT
101YP2500X
Professional Counselor
Primary
662
MT
Other
Enumeration date
05/08/2007
Last updated
10/19/2018
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