Provider Demographics
NPI:1780939736
Name:ALEXANDER, VICKIE (MS (LPC))
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:MS (LPC)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 22994
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73123-1994
Mailing Address - Country:US
Mailing Address - Phone:405-312-3630
Mailing Address - Fax:405-445-7669
Practice Address - Street 1:917 CEDAR LAKE BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73114-7813
Practice Address - Country:US
Practice Address - Phone:405-312-3630
Practice Address - Fax:405-445-7669
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5474101Y00000X
OK101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor