Individual
ALEXANDREA BRIAND OVIATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LAC
Contact information
Practice address
2147 S LUTHER, MESA, AZ 85209-4367
(480) 604-6737
Mailing address
510 E MOELLER ST, PRESCOTT, AZ 86301-2612
(928) 420-8300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22328
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700365467
—
AZ
Enumeration date
08/22/2023
Last updated
08/22/2023
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