Provider Demographics
NPI:1013436617
Name:ALEXANDER, ANNIE NOEL
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:NOEL
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 TOPSIDE CT
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229-7946
Mailing Address - Country:US
Mailing Address - Phone:360-840-1075
Mailing Address - Fax:
Practice Address - Street 1:9 TOPSIDE CT
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-7946
Practice Address - Country:US
Practice Address - Phone:360-840-1075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health