Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexis Shock, STUDENT

Individual provider Professional Counselor · NPI 1518632520

Alexis Shock, STUDENT is a Professional Counselor in East Grand Forks, Minnesota. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

401 Demers Ave
East Grand Forks, MN 56721-1835
Phone: (218) 779-0134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1518632520
Entity typeIndividual (Type 1)
GenderFemale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedAugust 11, 2021
Last updated in NPPESAugust 11, 2021
Certification dateJuly 29, 2021

Other providers in East Grand Forks