Jacqueline Marie Alexander, MA, LPC, NCC
Individual provider Active NPI Professional Counselor · West Simsbury, CT
NPI 1649488495 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649488495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 001364 (CT)
- Practice address
- 244 Farms Village Road
West Simsbury, CT 06092 - Phone
- (860) 693-4599
- Fax
- (860) 693-4452
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001364 | CT | Yes |
Addresses
Primary practice location
244 Farms Village Road
West Simsbury, CT 06092
Mailing address
PO Box 404
West Simsbury, CT 06092-0404
Phone (860) 408-1595
Other providers in West Simsbury, CT
- Jessica Abate
- Advanced Valley Dental, LLC
- Elaine Marie Arthur
- Authentic-Self Counseling, LLC
- Christina Browning
- Russell A Ciafone
- John Connelly
All providers in West Simsbury, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.