Provider Demographics
NPI:1689796047
Name:ALEXANDER, ALEX L (ND, LMHC)
Entity Type:Individual
Prefix:DR
First Name:ALEX
Middle Name:L
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:ND, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14010 3RD AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98177-3924
Mailing Address - Country:US
Mailing Address - Phone:206-687-4786
Mailing Address - Fax:206-299-9768
Practice Address - Street 1:14010 3RD AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98177-3924
Practice Address - Country:US
Practice Address - Phone:206-687-4786
Practice Address - Fax:206-299-9768
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60449716101YM0800X
WANT00001580175F00000X, 175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2097283Medicaid