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NPI Code Detail

MEDICARE: MS. CHRISTINA LOUISE ALEXANDER M.A., ATR-BC, LPC

MEDICARE:  MS. CHRISTINA LOUISE ALEXANDER  M.A., ATR-BC, 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
1101YP2500XProfessional CounselorPC006051PA

General Provider Information

NPI Number : 1891070009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINA LOUISE ALEXANDER M.A., ATR-BC, LPC
Provider Business Mailing Address
First Line : 1212 WOOD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-1113
Country : US
Telephone Number : 215-568-2435
Fax Number : 215-564-4740
Provider Business Practice Location Address
First Line : 1212 WOOD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19107-1113
Country : US
Telephone Number : 215-568-2435
Fax Number : 215-564-4740
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2011
Last Update Date : 10/19/2011

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Directions to “ MS. CHRISTINA LOUISE ALEXANDER M.A., ATR-BC, LPC” Practice Location

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