MEDICARE: JULIE ALEXANDER LPC

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	PC016205	PA

General Provider Information

NPI Number	:	1053332460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ALEXANDER LPC

Provider Business Mailing Address
First Line	:	410 N PRINCE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3010
Country	:	US
Telephone Number	:	717-560-7917
Fax Number	:	717-560-6452

Provider Business Practice Location Address
First Line	:	410 N PRINCE ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3010
Country	:	US
Telephone Number	:	717-560-7917
Fax Number	:	717-560-6452

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	10/14/2023

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