Individual
ALEXANDRA LEIGH THIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 W BELMONT AVE STE 401A, CHICAGO, IL 60657-3200
(505) 315-8953
Mailing address
1300 W BELMONT AVE STE 401A, CHICAGO, IL 60657-3200
(505) 315-8953
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.021240
IL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/22/2020
Last updated
04/23/2025
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