Organization
ALEXANDRA GLEASON, LMFT, PLLC
Active
Other names
Alexandra Gleason, LMFT, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA GLEASON (OWNER)
(516) 993-6678
Entity
Organization
Contact information
Practice address
15 DAVE LN, SOUTH SETAUKET, NY 11720-1006
(516) 993-6678
Mailing address
15 DAVE LN, SOUTH SETAUKET, NY 11720-1006
(516) 993-6678
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154867877
BLUECROSS BLUE SHIELD
NY
Enumeration date
12/04/2019
Last updated
12/04/2019
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