Individual
MS. ALEXANDRA PATRICE VANDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
2045 WESTGATE DR, SUITE 304, BETHLEHEM, PA 18017-7480
(610) 865-8177
(610) 865-2764
Mailing address
2045 WESTGATE DR, SUITE 304, BETHLEHEM, PA 18017-7480
(610) 865-8177
(610) 865-2764
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC004220
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC004220
LICENSED COUNSELOR
PA
Enumeration date
09/10/2007
Last updated
09/10/2007
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