Individual
ALEXIS BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 UNIVERSITY RD, PEMBROKE, NC 28372-8699
(910) 521-6000
Mailing address
600 BLUEBILL DR APT 303, PEMBROKE, NC 28372-4806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-29224
NC
1041C0700X
Clinical Social Worker
Primary
PO19328
NC
Other
Enumeration date
12/06/2022
Last updated
08/14/2023
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