Individual
ALEXANDRA MINNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
24 ACORN DR, TABERNACLE, NJ 08088-9208
(609) 410-1806
(609) 859-2738
Mailing address
409 MAIN ST, TOMS RIVER, NJ 08753-7418
(609) 410-1806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00395900
NJ
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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