Individual
ALEXIS POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCAT, RDT
Contact information
Practice address
240 MADISON AVE, 10L, NEW YORK, NY 10016-2820
(347) 687-4084
Mailing address
240 MADISON AVE, 10L, NEW YORK, NY 10016-2820
(347) 687-4084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001897-1
NY
221700000X
Art Therapist
001897-1
NY
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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