Provider Demographics
NPI:1881619328
Name:CHAPUNOFF, ALEXANDER J (LMHC)
Entity type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:J
Last Name:CHAPUNOFF
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:MR
Other - First Name:JULIUS
Other - Middle Name:ALEXANDER
Other - Last Name:CHAPUNOFF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:638 3RD AVE S
Mailing Address - Street 2:#8
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-4109
Mailing Address - Country:US
Mailing Address - Phone:727-822-9583
Mailing Address - Fax:
Practice Address - Street 1:1135 PASADENA AVE S
Practice Address - Street 2:SUITE 309
Practice Address - City:SOUTH PASADENA
Practice Address - State:FL
Practice Address - Zip Code:33707-2887
Practice Address - Country:US
Practice Address - Phone:727-674-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7898101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health