Individual provider · Type 1 NPI
Alexa Licata, MA
Professional Counselor · Bellow Falls, VT
NPI number
1114608700
Active
Practice location
94 Westminster Terrace
Bellow Falls, VT 05101-1487
Fax (802) 732-8344
Mailing address
390 River Street
Springfield, VT 05156-2226
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 097.0135794 (VT) |
Professional Counselor: Definition to come...
3 other providers at this address
About NPI 1114608700
Alexa Licata, MA's National Provider Identifier is 1114608700, issued on Jul 27, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bellow Falls, VT. The record was last updated on Jul 27, 2023.