Provider Demographics
NPI:1831303965
Name:ALEXANDER, JEANNE LOUISE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:LOUISE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1270 KNOTTY PINE WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT CHARLESTON
Mailing Address - State:NV
Mailing Address - Zip Code:89124-9137
Mailing Address - Country:US
Mailing Address - Phone:702-334-0269
Mailing Address - Fax:
Practice Address - Street 1:9414 W LAKE MEAD BLVD
Practice Address - Street 2:KAYENTA THERAPY CENTER
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89134-8312
Practice Address - Country:US
Practice Address - Phone:702-334-0269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist