Individual provider · Type 1 NPI

Alexis Shock, STUDENT

Professional Counselor · East Grand Forks, MN

NPI number 1518632520 Active

Practice location

401 Demers Ave
East Grand Forks, MN 56721-1835

Call (218) 779-0134 Map

Mailing address

5073 W Elm Ct
Grand Forks, ND 58203-0606

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

Another provider at this address

Other professional counselor providers in East Grand Forks

See all in East Grand Forks →

About NPI 1518632520

Alexis Shock, STUDENT's National Provider Identifier is 1518632520, issued on Aug 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in East Grand Forks, MN. The record was last updated on Aug 11, 2021.