Individual
ALEXANDREA DEFELICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
97 MARSHALL ST, REVERE, MA 02151-1828
(978) 758-3704
Mailing address
97 MARSHALL ST, REVERE, MA 02151-1828
(978) 758-3704
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
12250-MH-CC
MA
Other
Enumeration date
10/05/2011
Last updated
04/18/2023
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