Provider Demographics
NPI:1508224130
Name:JABS, ALEXANDRA CHRISTINE (LPCC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CHRISTINE
Last Name:JABS
Suffix:
Gender:
Credentials:LPCC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:DOKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC-S, LCDC III
Mailing Address - Street 1:2689 FRANKFORT RD
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8611
Mailing Address - Country:US
Mailing Address - Phone:859-537-9779
Mailing Address - Fax:502-868-9312
Practice Address - Street 1:2689 FRANKFORT RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:KY
Practice Address - Zip Code:40324-8611
Practice Address - Country:US
Practice Address - Phone:859-537-9779
Practice Address - Fax:502-868-9312
Is Sole Proprietor?:No
Enumeration Date:2016-02-10
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY284012101YP2500X, 101YP2500X
OHE.1200192101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health