Individual
ALEXA AVA MADOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
195 MAPLE AVE, RED BANK, NJ 07701-1726
(732) 749-2438
Mailing address
195 MAPLE AVE, RED BANK, NJ 07701-1726
(732) 749-2438
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37AC00724400
NJ
Other
Enumeration date
01/27/2022
Last updated
08/14/2024
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