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Individual

ALEXANDRA DANIELS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LCMHCA

Contact information

Practice address
402 E RAINTREE LN, GOLDSBORO, NC 27534-8261
(919) 429-9828
Mailing address
PSC 812 BOX 813, FPO, AE 09627-0009
(801) 510-7703

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
A17424
NC
101YM0800X
Mental Health Counselor
Primary
A17424
NC
101YP2500X
Professional Counselor
A17424
NC
251S00000X
Community/Behavioral Health Agency
A17424
NC

Other

Enumeration date
04/05/2022
Last updated
03/18/2024
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