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NPI Code Detail

MEDICARE: ALEXANDRA CHRISTINE CROMER

MEDICARE:   ALEXANDRA CHRISTINE CROMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174122428
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA CHRISTINE CROMER
Provider Business Mailing Address
First Line : 1215 MALL DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4737
Country : US
Telephone Number : 804-594-3690
Fax Number : 804-794-7374
Provider Business Practice Location Address
First Line : 1215 MALL DR
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23235-4737
Country : US
Telephone Number : 804-594-3690
Fax Number : 804-794-7374
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2020
Last Update Date : 10/19/2020

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Directions to “ ALEXANDRA CHRISTINE CROMER ” Practice Location

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