Individual
ALEXA P VINUEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 WANAQUE AVE, POMPTON LAKES, NJ 07442-2101
(973) 858-8163
(973) 329-0555
Mailing address
281 CLIFTON AVE, NEWARK, NJ 07104-1484
(973) 280-7196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00304500
NJ
104100000X
Social Worker
44SL06719500
NJ
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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