Individual
ALEXANDRIA DIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1801047-TRNE
OH
101YM0800X
Mental Health Counselor
Primary
C.1902170
OH
Other
Enumeration date
05/11/2018
Last updated
09/04/2025
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