Provider Demographics
NPI:1093469314
Name:HILL, ALEXANDER M (LMFT)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:M
Last Name:HILL
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6851 KENILWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-1841
Mailing Address - Country:US
Mailing Address - Phone:301-412-5445
Mailing Address - Fax:
Practice Address - Street 1:6851 KENILWORTH AVE
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-1841
Practice Address - Country:US
Practice Address - Phone:301-412-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-06
Last Update Date:2022-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130127106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist