Individual
ALEXANDRA IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
461 MILLER RD, CLIFTON PARK, NY 12065-1621
(518) 527-5491
Mailing address
461 MILLER RD, CLIFTON PARK, NY 12065-1621
(518) 527-5491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P120496
NY
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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