Individual
ALEXIS M TUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2621 GENESEE ST, UTICA, NY 13501-6216
(315) 507-3858
Mailing address
2621 GENESEE ST, UTICA, NY 13501-6216
(315) 507-3858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P117263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344456469
—
NY
Enumeration date
08/25/2022
Last updated
08/25/2022
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