NPI 1184837577 · live from the CMS NPI Registry
Mary Alexine, LCPC, LAC
Counselor, Professional in Kalispell, MT. National Provider Identifier 1184837577, active.
NPI record
| NPI | 1184837577 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 723 5th Ave E Ste 138, Kalispell, MT 59901 |
| Practice phone | 406-290-9344 |
| Mailing address | 316 Shady River Ln, Whitefish, MT 59937 |
| Enumerated | May 8, 2007 |
| Last updated | October 19, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 866 (MT) |
| Counselor, Professional primary | 101YP2500X | 662 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.