Individual
MRS. ALEXIS VICTORIA IRENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(973) 304-5559
Mailing address
3 TIMBER ROCK TRL, BERNARDSVILLE, NJ 07924-2260
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC01008300
NJ
Other
Enumeration date
03/14/2024
Last updated
08/16/2024
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