Individual
ALEXANDRA VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
72 JOHNSON AVE # 1, WALLINGTON, NJ 07057-2206
(973) 714-1230
Mailing address
72 JOHNSON AVE # 1, WALLINGTON, NJ 07057-2206
(973) 714-1230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00233800
NJ
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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