Individual
ALEXYS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 PARK ST STE 104, MONTCLAIR, NJ 07042-2988
(973) 891-0793
Mailing address
1234 ORANGE AVE, UNION, NJ 07083-5230
(973) 981-0580
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00851000
NJ
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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