MEDICARE: MS. ALEXANDRIA J AASEN M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180009811	IL
2	101YP2500X	Professional Counselor	LPC-22992	AZ
3	101YP2500X	Professional Counselor	13788423-6004	UT
4	101YP2500X	Professional Counselor	CP0141	NV

General Provider Information

NPI Number	:	1649405788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALEXANDRIA J AASEN M.A.

Provider Business Mailing Address
First Line	:	5155 BLUE DIAMOND RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7698
Country	:	US
Telephone Number	:	702-358-0656
Fax Number	:

Provider Business Practice Location Address
First Line	:	5155 BLUE DIAMOND RD STE 102
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89139-7698
Country	:	US
Telephone Number	:	702-358-0656
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2009
Last Update Date	:	03/30/2025

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