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Individual

MS. ALEXANDRA THEVENIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
125 ELLISON ST STE 3, PATERSON, NJ 07505-1310
(917) 689-9849
Mailing address
125 ELLISON ST STE 3, PATERSON, NJ 07505-1310
(833) 732-5349

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NJ
104100000X
Social Worker
Primary
NJ

Other

Enumeration date
02/13/2026
Last updated
06/24/2026
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