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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXANDRA A BOUTAKOVA-KLINTWORTH, LPC

Active Sole Proprietor

ALEXANDRA A BOUTAKOVA-KLINTWORTH, LPC is a Mental Health Counselor healthcare provider located in PAWLEYS ISLAND, South Carolina. NPI 1881241065 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PAWLEYS ISLAND, SC

Registration Details

NPI Number
1881241065
Provider Type
Individual
Gender
Female
NPI Issued
Aug 21, 2019 (6.9512135817759 yrs)
Last Updated
Aug 21, 2019
License
5691 (SC)
Sole Proprietor
Yes

Practice Information

Address
14323 OCEAN HWY UNIT 4111
PAWLEYS ISLAND, SC, 295854817
Browse SC providers · Browse ZIP 29585
Phone
8432359960
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PAWLEYS ISLAND, SC

Name Credential NPI
MS. AMY MCDONALD KINARD LPC 1801971932
JAMES ALEXANDER BEARD MA 1952539066
ACTON BARNWELL BEARD LPC, LPCS, EDS 1437445871
ZIFA HACKETT 1003215286
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.