Doctor Name: | ALEXANDRA DE VERE |
NPI Number: | 1568575702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | LMHC: 0088721 |
Business Practice Address: | 872 S Camino Del Pueblo Bernalillo, NM - 870045927 |
Business Phone Number: | 5058672383 |
Business Fax Number: | 5058677293 |
Mailing Address: | 1859 Brandon Dr Sw, LOS LUNAS |
State: | NM |
Postal Code: | 870318801 |
Phone Number: | 5055651619 |
Fax Number: | 5058672383 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMHC: 0088721 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |