Provider Demographics
NPI:1710760509
Name:NEBEL, ALEXANDRA (CRC, LCMHCA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:NEBEL
Suffix:
Gender:F
Credentials:CRC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 WEATHERSTONE DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1587
Mailing Address - Country:US
Mailing Address - Phone:407-797-3890
Mailing Address - Fax:
Practice Address - Street 1:314 CLOISTER CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2276
Practice Address - Country:US
Practice Address - Phone:407-797-3890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC642059225C00000X
NCA19038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor