| Doctor Name: | ALEXANDRIA CHILDS |
| NPI Number: | 1568807865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC-4532 |
| Business Practice Address: | 409 S 3rd St A Mccall, ID - 836385000 |
| Business Phone Number: | 2086342962 |
| Business Fax Number: | 2086345064 |
| Mailing Address: | Po Box 1790, MCCALL |
| State: | ID |
| Postal Code: | 83638 |
| Phone Number: | 2088661261 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPC-4532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |