Individual provider · Type 1 NPI
Alexandrea Defelice
Mental Health Counselor · Revere, MA
NPI number
1215211586
Active
Practice location
97 Marshall St
Revere, MA 02151-1828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 12250-MH-CC (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1215211586
Alexandrea Defelice's National Provider Identifier is 1215211586, issued on Oct 5, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Revere, MA. The record was last updated on Apr 18, 2023.