Individual
ALEC VICENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12301 WHITEWATER DR STE 101, MINNETONKA, MN 55343-4157
(952) 999-6097
Mailing address
1933 RANDOLPH AVE, SAINT PAUL, MN 55105-1746
(608) 208-3065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
09/29/2021
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