Individual
MS. ALEXANDRA THEVENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
125 ELLISON ST, PATERSON, NJ 07505-1394
(917) 689-9849
Mailing address
1606 FERNOTE ST FL 2, RAHWAY, NJ 07065-3437
(917) 689-9849
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
03/12/2026
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