Individual
MS. ALEXANDRA J COLVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1760 S TELEGRAPH RD STE 200-220, BLOOMFIELD TOWNSHIP, MI 48302-0180
(517) 882-3732
(517) 882-3633
Mailing address
1760 S TELEGRAPH RD STE 200-220, BLOOMFIELD TOWNSHIP, MI 48302-0180
(517) 882-3732
(517) 882-3633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401009266
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
820844
SUBSTANCE ABUSE LICENSE
MI
Enumeration date
03/15/2007
Last updated
08/14/2023
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