Individual provider · Type 1 NPI

Alexandria Lynn Supernor

Mental Health Counselor · Worcester, MA

NPI number 1669104642 Active

Practice location

25 Union St
Worcester, MA 01608-1141

Call (774) 255-0674 Map

Mailing address

20B Gates Rd
Worcester, MA 01603-1839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669104642

Alexandria Lynn Supernor's National Provider Identifier is 1669104642, issued on Jun 28, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jun 28, 2022.