Provider Demographics
NPI:1750814224
Name:LIMON, ALEJANDRO (MSW)
Entity Type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:
Last Name:LIMON
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2320 S HAVANA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-5577
Mailing Address - Country:US
Mailing Address - Phone:509-845-9636
Mailing Address - Fax:
Practice Address - Street 1:2320 S HAVANA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-5577
Practice Address - Country:US
Practice Address - Phone:509-845-9636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC606749471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical