Provider Demographics
NPI:1972575017
Name:BLOCK, ALEXANDRA CLAUDIA (MA ATR-BC, LPC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CLAUDIA
Last Name:BLOCK
Suffix:
Gender:F
Credentials:MA ATR-BC, LPC
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Other - Middle Name:
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Mailing Address - Street 1:739 S WHITE HORSE PIKE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1659
Mailing Address - Country:US
Mailing Address - Phone:856-547-9200
Mailing Address - Fax:856-547-9220
Practice Address - Street 1:739 S WHITE HORSE PIKE
Practice Address - Street 2:SUITE 8
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1659
Practice Address - Country:US
Practice Address - Phone:856-547-9200
Practice Address - Fax:856-547-9220
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ37PC00336100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional