Healthcare Provider Details

I. General information

NPI: 1972575017
Provider Name (Legal Business Name): ALEXANDRA CLAUDIA BLOCK MA ATR-BC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 06/20/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 WHITE HORSE PIKE STE 9
HADDON HEIGHTS NJ
08035-1294
US

IV. Provider business mailing address

2 WHITE HORSE PIKE STE 9
HADDON HEIGHTS NJ
08035-1294
US

V. Phone/Fax

Practice location:
  • Phone: 856-858-2800
  • Fax: 856-858-2866
Mailing address:
  • Phone: 856-858-2800
  • Fax: 856-858-2866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00336100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: