Individual
MR. ALEJANDRO FABIAN MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.H.C.
Contact information
Practice address
89 5TH AVE, SUITE 903, NEW YORK, NY 10003-3020
(201) 951-2584
Mailing address
17-16 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5904
(201) 951-2584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001929
NY
Other
Enumeration date
12/17/2006
Last updated
07/07/2016
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