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NPI Code Detail

MEDICARE: ALEXANDRA NORENE COYNE MS, NCC

MEDICARE: ALEXANDRA NORENE COYNE MS, NCC
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 : 1144082140
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA NORENE COYNE MS, NCC
Provider Business Mailing Address
First Line : 1626 EVERGREEN DR APT 14
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-3815
Country : US
Telephone Number : 605-389-2571
Fax Number :
Provider Business Practice Location Address
First Line : 909 SAINT JOSEPH ST STE 201
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-3304
Country : US
Telephone Number : 605-299-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2024
Last Update Date : 01/25/2024

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