Individual provider · Type 1 NPI
Alexander Robert Brack, LPC
Professional Counselor · Milford, CT
NPI number
1992326144
Active
Practice location
25 Housatonic Ave
Milford, CT 06460-3417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000696 (CT) |
Professional Counselor: Definition to come...
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About NPI 1992326144
Alexander Robert Brack, LPC's National Provider Identifier is 1992326144, issued on Apr 29, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Milford, CT. The record was last updated on Apr 29, 2020.