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Individual

ALEXANDRA HARTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
635 JAMES ST, SYRACUSE, NY 13203-2226
(315) 671-2964
Mailing address
635 JAMES ST, SYRACUSE, NY 13203-2226

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007988
NY
101YM0800X
Mental Health Counselor
P96789
NY

Other

Enumeration date
04/23/2015
Last updated
06/13/2017
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