Alexandra A Boutakova-Klintworth, LPC
NPI #1881241065 in Pawleys Island, South Carolina
Provider Information
- NPI Number
- 1881241065
- Entity Type
- Individual
- Name
- Alexandra A Boutakova-Klintworth, LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LPC
- Enumeration Date
- Aug 21, 2019
- Last Updated
- Aug 21, 2019
Practice Location
- Address
- 14323 OCEAN HWY UNIT 4111
- City
- Pawleys Island
- State
- South Carolina
- ZIP Code
- 29585-4817
- Phone
- (843) 235-9960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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