Provider Demographics
NPI:1578836938
Name:GONZALEZ, ALEXIE ZURI (LPC CANDIDATE)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIE
Middle Name:ZURI
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:ALEXIE
Other - Middle Name:ZURI
Other - Last Name:LOFSTROM-DEWES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC CANDIDATE
Mailing Address - Street 1:7717 S MINGO RD
Mailing Address - Street 2:#1009
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3327
Mailing Address - Country:US
Mailing Address - Phone:918-809-6079
Mailing Address - Fax:
Practice Address - Street 1:208 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-8379
Practice Address - Country:US
Practice Address - Phone:918-514-4029
Practice Address - Fax:918-419-2653
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health