Provider Demographics
NPI:1720346349
Name:NEVERTON, ALEXANDER JAMES
Entity Type:Individual
Prefix:MR
First Name:ALEXANDER
Middle Name:JAMES
Last Name:NEVERTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 OTTAWA AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55107-3518
Mailing Address - Country:US
Mailing Address - Phone:828-719-9349
Mailing Address - Fax:
Practice Address - Street 1:817 OTTAWA AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55107-3518
Practice Address - Country:US
Practice Address - Phone:828-719-9349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor