ALEXANDRA IVANOVSKY

PLACERVILLE, CA
NPI1427446947
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  25034)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  25034)
101YP2500X Counselor, Professional
(Licence: CA  25034)
103K00000X Behavior Analyst
(Licence: CA  25034)
Enumeration Date2015-01-06
Last Update Date2021-10-21
Business Address
ALEXANDRA IVANOVSKY LCSW
6731 SHOO FLY RD
PLACERVILLE, CA 95667-7421
Phone number: 530-363-8681
Mailing Address
ALEXANDRA IVANOVSKY LCSW
PO BOX 1403
PLACERVILLE, CA 95667-1403
Phone number: 530-626-5976