Individual
ALEXANDRA MOSKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMHCA
Contact information
Practice address
4519 SE BOISE ST, PORTLAND, OR 97206-4037
(513) 240-1080
Mailing address
4519 SE BOISE ST, PORTLAND, OR 97206-4037
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61155149
WA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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