Provider Demographics
NPI:1548304900
Name:COMINOS, ALEXANDRA D (MS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:D
Last Name:COMINOS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 842
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46308-0842
Mailing Address - Country:US
Mailing Address - Phone:219-779-7897
Mailing Address - Fax:
Practice Address - Street 1:717 MONROE ST
Practice Address - Street 2:
Practice Address - City:LA PORTE
Practice Address - State:IN
Practice Address - Zip Code:46350-3356
Practice Address - Country:US
Practice Address - Phone:219-575-1437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor