Individual
ALEXANDRA T AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, NCC, LMHC
Contact information
Practice address
6735 CONROY RD, SUITE 207, ORLANDO, FL 32835-3565
(561) 866-9246
Mailing address
6735 CONROY RD, SUITE 207, ORLANDO, FL 32835-3565
(561) 866-9246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13728
FL
Other
Enumeration date
10/09/2013
Last updated
06/15/2016
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