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ALEXANDRIA BLAUROCK
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1164000188
Individual Registrant: ALEXANDRIA BLAUROCK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
555 HIGHLAND AVE CHESHIRE, CT 06410-2255 US
Tel: 860-385-1472 Fax: --
Tel: 860-385-1472 Fax: --
Contact information for business:
75 HOCKANUM BLVD UNIT 2935 VERNON, CT 06066-4077 US
Tel: 913-219-6411 Fax: --
Tel: 913-219-6411 Fax: --
Registration Information:
NPI: 1164000188
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | CT | 4578 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
