Individual
ALEXIS EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 S PITTSBURGH ST, CONNELLSVILLE, PA 15425-4003
(724) 626-8420
Mailing address
148 CANNONBALL CT, MOUNT PLEASANT, PA 15666-1150
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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