Individual provider · Type 1 NPI

Alexa Theodore

Mental Health Counselor · West Springfield, MA

NPI number 1194194324 Active

Practice location

1111 Elm St, Suite 7
West Springfield, MA 01089-1782

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1194194324

Alexa Theodore's National Provider Identifier is 1194194324, issued on Sep 17, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Springfield, MA. The record was last updated on Sep 17, 2015.