Individual
BIANCA C ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 ERDMAN WAY # 208, LEOMINSTER, MA 01453-1840
(978) 870-1840
Mailing address
169 VAUXHALL ST, NEW LONDON, CT 06320-3821
(860) 460-3520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4419
CT
Other
Enumeration date
11/04/2019
Last updated
05/29/2020
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