person
Alexandra A Boutakova-klintworth, LPC
Mental Health Counselor in Pawleys Island, South Carolina
NPI 1881241065

Alexandra A Boutakova-klintworth is a Mental Health Counselor based in Pawleys Island, SC and is specialized in Mental Health. Alexandra A Boutakova-klintworth practices in Pawleys Island, SC and has the professional credentials of LPC. The NPI Number for Alexandra A Boutakova-klintworth is 1881241065 and holds a License No. 5691 (South Carolina).

The current practice location address for Alexandra A Boutakova-klintworth is 14323 Ocean Hwy Unit 4111, Pawleys Island, SC and can be reached out via phone at 843-235-9960.

Location: 14323 Ocean Hwy Unit 4111, Pawleys Island, SC, 29585-4817
person
Provider Profile Details
NPI Number
1881241065
Provider Name
Alexandra A Boutakova-klintworth
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
14323 Ocean Hwy Unit 4111, Pawleys Island, SC, 29585-4817
Phone Number
843-235-9960
Fax Number
Provider Enumeration Date
08/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14323 Ocean Hwy Unit 4111
City
State
Zip
29585-4817
Phone Number
843-235-9960
Fax Number
person
Provider Business Mailing Address Details
Address
14323 Ocean Hwy Unit 4111
City
State
Zip
29585-4817
Phone Number
843-235-9960
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
5691 (South Carolina)
Definition
Definition to come...
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