Provider Demographics
NPI:1427564822
Name:SCHERBATSKOY, ALEXANDER (LPCC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:SCHERBATSKOY
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 H ST STE 202C
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0481
Mailing Address - Country:US
Mailing Address - Phone:707-828-0607
Mailing Address - Fax:
Practice Address - Street 1:100 H ST STE 202C
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0481
Practice Address - Country:US
Practice Address - Phone:707-828-0607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-20
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health