Provider Demographics
NPI:1669845988
Name:ALEXANDER, PAULA (LCADC, LAC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LCADC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 GREENWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4022
Mailing Address - Country:US
Mailing Address - Phone:732-580-7917
Mailing Address - Fax:
Practice Address - Street 1:128 GREENWOOD RD
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4022
Practice Address - Country:US
Practice Address - Phone:732-580-7917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00210600101YA0400X
NJ37ACOO219200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)