IndividualActive
Alexandra Spain, LPC
NPI 1619648656 · Counselor · Rockford, IL
Provider details
- NPI number
- 1619648656
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178.015824 (IL)
Practice location
631 N Longwood St Ste 103
Rockford, IL 61107-4263
Phone: (815) 962-5585
Mailing address
631 N Longwood St Ste 103
Rockford, IL 61107-4263
Registry dates
- Enumerated
- 2021-09-21
- Last updated
- 2021-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.