Individual
ALEXANDRA R BROCCOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
109 FULLER ST APT 3, BOSTON, MA 02124-3867
(401) 559-0967
Mailing address
109 FULLER ST APT 3, BOSTON, MA 02124-3867
(401) 559-0967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10001502
MA
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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