Female

Alexandra G. Acquaviva

Mental Health Counselor in Boynton Beach, FL(View on Map)

Full Name

Alexandra Grace Acquaviva

NPI Number

1154005338

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/09/2023

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

IMH22384

Contact
Information

Purpose

Mailing
Location

Address

2320 S SEACREST BLVD STE 300
2320 S SEACREST BLVD STE 300

City

Boynton Beach
Boynton Beach

State

FL
FL

Postal Code

33435-6516
33435-6516

Country

US
US

Telephone Number

N/A
(561) 518-7950

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/09/2023

Provider Address

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