Individual provider · Type 1 NPI

Alexandra Marie Clyne

Mental Health Counselor · Port St. Lucie, FL

NPI number 1801602743 Active

Practice location

1874 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5545

Mailing address

10604 SW Innovation Way Apt 106
Port St. Lucie, FL 34987-2239

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XMH24746 (FL)
Mental Health Counselor Primary 101YM0800XMH24746 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1801602743

Alexandra Marie Clyne's National Provider Identifier is 1801602743, issued on Dec 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 5, 2024.