Most Relevant Information
Provider Data
| NPI Number: | 1003412388 |
| Provider Name: | ALEXANDRIA RILEY LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 37PC00498100 |
Most Important Dates
| Enumeration Date: | 12/10/2020 |
| Last Updated: | 12/10/2020 |
Provider Practice Location
500 PROSPECT AVE STE 300
WEST ORANGE
NJ
070524165
Practice Location Phone/Fax
| Phone: | 8625059191 |
| Fax: |
Provider Mailing Location
500 PROSPECT AVE STE 300
WEST ORANGE
NJ
070524165
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |