Individual
MS. ALEXANDREA JOSEPHINE FORWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
86 LAKE ST, BURLINGTON, VT 05401-5297
(802) 865-3450
Mailing address
180 ETHAN ALLEN PKWY, BURLINGTON, VT 05408-2523
(917) 208-5024
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
089.0128888
VT
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
089.0128888
VT
Other
Enumeration date
09/26/2012
Last updated
03/17/2018
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