Provider Demographics
NPI:1770812620
Name:NOBILI, ALEXANDRA LYNN (LPC)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:LYNN
Last Name:NOBILI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:883 PADDOCK AVE.
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-7044
Mailing Address - Country:US
Mailing Address - Phone:203-238-6878
Mailing Address - Fax:203-634-7040
Practice Address - Street 1:1250 SILVER ST.
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-3946
Practice Address - Country:US
Practice Address - Phone:860-346-0300
Practice Address - Fax:860-346-9041
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)