Individual
MRS. BLAKE-ALEXANDRIA ALEXIS COLLINS-WISNIOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., CWC-II
Contact information
Practice address
1015 NW 56TH TER, GAINESVILLE, FL 32605-4481
(352) 835-5520
Mailing address
119 ROBINSON LN, SANTA CRUZ, CA 95060-2351
(831) 760-2774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16901
CA
106S00000X
Behavior Technician
—
—
171400000X
Health & Wellness Coach
Primary
10067ECF1E
CA
Other
Enumeration date
12/09/2016
Last updated
08/01/2025
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