Individual provider · Type 1 NPI

Alexandra M. Spain, LPC

Counselor · Rockford, IL

NPI number 1619648656 Active

Practice location

631 N Longwood St Ste 103
Rockford, IL 61107-4263

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.015824 (IL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619648656

Alexandra M. Spain, LPC's National Provider Identifier is 1619648656, issued on Sep 21, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Rockford, IL. The record was last updated on Sep 21, 2021.