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General NPI Number Information
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NPI Number | 1720633779
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Entity Type | Organization
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Legal Business Name | ALEXIS JAMES VIRTUAL COUNSELING
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 416 MCCLENNAN DR
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1241
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Country | US
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Telephone | 716-867-4251
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Fax |
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Provider Business Mailing Address
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Address Line | 2363 JAMES ST # 652
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City | SYRACUSE
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State | NY
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Zip | 13206-2840
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Country | US
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Telephone | 904-404-5400
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXIS JAMES
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Credential | LMHC
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Telephone | 904-404-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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