Provider Demographics
NPI:1053604009
Name:NAGG, ALEXANDRA KAY (LPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:ALEXANDRA
Middle Name:KAY
Last Name:NAGG
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 92
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:PA
Mailing Address - Zip Code:15680-0092
Mailing Address - Country:US
Mailing Address - Phone:724-681-7915
Mailing Address - Fax:
Practice Address - Street 1:306 WHITESELL STREET
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:PA
Practice Address - Zip Code:15680-0092
Practice Address - Country:US
Practice Address - Phone:724-681-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005869101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor