Individual
ALEXANDRA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2053 GAUSE BLVD E, SLIDELL, LA 70461-5449
(985) 649-1001
Mailing address
2053 GAUSE BLVD E, SLIDELL, LA 70461-5449
(985) 649-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
010858524
LA
171M00000X
Case Manager/Care Coordinator
Primary
010858524
LA
Other
Enumeration date
01/12/2018
Last updated
07/20/2020
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