Individual
MISS ALEXIS ADRIANA LEE BOLLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6025 FOREST GREEN RD, PENSACOLA, FL 32505-8102
(352) 792-4153
Mailing address
6025 FOREST GREEN RD, PENSACOLA, FL 32505-8102
(352) 792-4153
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW23240
FL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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