Individual
ALEXANDRA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, ATR-BC
Contact information
Practice address
801 BIDDLE ST, ARDMORE, PA 19003-2013
(484) 557-2582
Mailing address
801 BIDDLE ST, ARDMORE, PA 19003-2013
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC009606
PA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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