Individual
ALEXANDRA BACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC, LPC
Contact information
Practice address
2050 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1910
(856) 346-0005
Mailing address
2050 VOORHEES TOWN CTR, VOORHEES, NJ 08043-1910
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC010424
PA
221700000X
Art Therapist
Primary
17-140
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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