Spain, Alexandra M

Spain, Alexandra M is an sole proprietor health care provider with primary practice located at 631 N Longwood St Ste 103 , Rockford IL 61107-4263. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Spain, Alexandra M can be contacted via phone (815) 962-5585.

Contact Information

Primary practice address
631 N Longwood St Ste 103 Rockford IL 61107-4263
Phone: (815) 962-5585
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 178.015824 Illinois

Profile Details

NPI number 1619648656
LBN Legal business name Spain, Alexandra M
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2021
Last updated Sep 21st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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