Individual
MISS ALEXA CARBONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2000 N RACINE AVE # 3300, CHICAGO, IL 60614-4045
(773) 413-9523
Mailing address
2000 N RACINE AVE # 3300, CHICAGO, IL 60614-4045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.016439
IL
Other
Enumeration date
12/06/2020
Last updated
12/06/2020
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