Individual
ASIA ALEXANDRA SWOPSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, LADAC II
Contact information
Practice address
3539 WATAUGA AVE, MEMPHIS, TN 38111-5921
(662) 312-3053
Mailing address
3539 WATAUGA AVE, MEMPHIS, TN 38111-5921
(662) 312-3053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4784
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
1377
TN
101YM0800X
Mental Health Counselor
Primary
4784
TN
Other
Enumeration date
07/24/2021
Last updated
06/14/2022
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