Individual provider · Type 1 NPI

Alexandra Bonato Korneitchouk

Mental Health Counselor · Boulder, CO

NPI number 1841640604 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1841640604

Alexandra Bonato Korneitchouk's National Provider Identifier is 1841640604, issued on Jun 13, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Jun 13, 2016.