Individual provider · Type 1 NPI

Alexis Shay Dettwiler, M.A., APCC

Professional Counselor · Campbell, CA

NPI number 1184157604 Active

Practice location

251 Llewellyn Ave
Campbell, CA 95008

Other practice locations

  • 1709 N Rocky Creek Ct, Wichita, KS 67230-1753 · (316) 253-3880

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1184157604

Alexis Shay Dettwiler, M.A., APCC's National Provider Identifier is 1184157604, issued on Apr 11, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Campbell, CA. The record was last updated on Feb 13, 2019.