Individual
ALEXIS MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
4330 GOLF TER STE 202, EAU CLAIRE, WI 54701-4688
(715) 201-4209
Mailing address
422 PUTNAM ST, EAU CLAIRE, WI 54703-3221
(715) 533-2879
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
4803226
WI
101YP2500X
Professional Counselor
Primary
8677-125
WI
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4803-226
LICENSE
WI
01
—
8677-125
LPC LICENSE
WI
Enumeration date
11/15/2018
Last updated
05/23/2024
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