Individual
ALEXA BOCANEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Mailing address
7601 WAYZATA BLVD, MINNEAPOLIS, MN 55426-1623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305524
MN
Other
Enumeration date
05/16/2025
Last updated
05/23/2025
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