Alexandria Elissa Small, LAC
Counselor, Mental Health in Florham Park, NJ. Individual provider (NPI-1).
NPI number1962033357
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1962033357
- Entity type
- Individual (NPI-1)
- Name
- Alexandria Elissa Small
- Credential
- LAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Oct 17, 2025
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 37AC00912600 | NJ | Yes |
Practice location
171 Ridgedale Ave Ste JFlorham Park, NJ 07932-1764
Phone 973-515-1216 · Fax 973-515-3108
Mailing address
171 Ridgedale Ave Ste JFlorham Park, NJ 07932-1764
Phone 973-515-1216 · Fax 973-515-3108
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