Organization
MENTALLURGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER JAMES NEVERTON LPCC (OWNER)
(828) 719-9349
Entity
Organization
Contact information
Practice address
817 OTTAWA AVE, SAINT PAUL, MN 55107-3518
(828) 719-9349
Mailing address
817 OTTAWA AVE, SAINT PAUL, MN 55107-3518
(828) 719-9349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
12/08/2023
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