IndividualActive
Alexa Nutt
NPI 1467038257 · Counselor · Champaign, IL
Provider details
- NPI number
- 1467038257
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 178-016699 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
309 W Clark St
Champaign, IL 61820-4637
Phone: (217) 398-9066
Fax: (217) 398-9077
Approximate (ZIP-level) locationGet directions
Mailing address
309 W Clark St
Champaign, IL 61820-4637
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2023-03-28
- Certified
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.