Individual provider · Type 1 NPI

Alexandra A. Boutakova-Klintworth, LPC

Mental Health Counselor · Pawleys Island, SC

NPI number 1881241065 Active

About NPI 1881241065

Alexandra A. Boutakova-Klintworth, LPC's National Provider Identifier is 1881241065, issued on Aug 21, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pawleys Island, SC. The record was last updated on Aug 21, 2019.