Provider Demographics
NPI:1972386886
Name:COTRUFELLO, ALEX LINDSY
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:LINDSY
Last Name:COTRUFELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:686 NW YORK DR
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97703-9857
Mailing Address - Country:US
Mailing Address - Phone:541-390-7288
Mailing Address - Fax:541-293-9013
Practice Address - Street 1:686 NW YORK DR
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-9857
Practice Address - Country:US
Practice Address - Phone:541-390-7288
Practice Address - Fax:541-293-9013
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor