Individual
ALEXANDRA MARIE CLYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1874 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5545
(833) 578-7483
Mailing address
10604 SW INNOVATION WAY APT 106, PORT ST LUCIE, FL 34987-2239
(321) 355-1012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH24746
FL
101YM0800X
Mental Health Counselor
Primary
MH24746
FL
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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