Individual
MS. ALEXIS HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA
Contact information
Practice address
615 DOUGLAS ST STE 500, DURHAM, NC 27705-6616
(919) 908-9730
Mailing address
1295 BANDANA BLVD W, SUITE 210, ST PAUL, MN 55108
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A21035
NC
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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