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NPI 1619648656

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

More IL providers

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.

Alexandra Spain, LPC — NPI 1619648656, Rockford, IL | NPI Central