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NPI Code Detail

MEDICARE: MR. ALEXANDER LESASKI LPC

MEDICARE:  MR. ALEXANDER  LESASKI  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
1101YA0400XAddiction (Substance Use Disorder) Counselor37LC00349400NJ
2101YP2500XProfessional Counselor37PC00678900NJ

General Provider Information

NPI Number : 1265174296
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALEXANDER LESASKI LPC
Provider Business Mailing Address
First Line : 147 VOSE AVE APT B6
Second Line :
City : SOUTH ORANGE
State : NJ
Zip : 07079-2009
Country : US
Telephone Number : 973-487-7001
Fax Number :
Provider Business Practice Location Address
First Line : 147 VOSE AVE APT B6
Second Line :
City : SOUTH ORANGE
State : NJ
Zip : 07079-2009
Country : US
Telephone Number : 973-487-7001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 04/15/2022

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Directions to “ MR. ALEXANDER LESASKI LPC” Practice Location

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