Individual
ALEXANDRA ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC, CTTP
Contact information
Practice address
111 W HIGH ST STE 109, ELKTON, MD 21921-5549
(443) 760-3620
Mailing address
111 W HIGH ST STE 109, ELKTON, MD 21921-5549
(443) 760-3620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC11395
MD
101YM0800X
Mental Health Counselor
LGP9603
MD
Other
Enumeration date
07/13/2018
Last updated
03/14/2023
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