Individual
ALEXIS AUBREY TREANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC, ACS
Contact information
Practice address
4 ANDRE DR, SUCCASUNNA, NJ 07876-1802
(973) 943-0222
Mailing address
4 ANDRE DR, SUCCASUNNA, NJ 07876-1802
(973) 943-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00636500
NJ
101YP2500X
Professional Counselor
Primary
37PC00636500
NJ
221700000X
Art Therapist
18-196
NJ
Other
Enumeration date
03/15/2024
Last updated
09/05/2024
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