Provider Demographics
NPI:1811327166
Name:ALTERNA COUNSELING
Entity type:Organization
Organization Name:ALTERNA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED BIBLICAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:FOWLER
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:302-287-4952
Mailing Address - Street 1:217 W SILVER FOX RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-1451
Mailing Address - Country:US
Mailing Address - Phone:302-387-4952
Mailing Address - Fax:302-533-5195
Practice Address - Street 1:217 W SILVER FOX RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-1451
Practice Address - Country:US
Practice Address - Phone:302-387-4952
Practice Address - Fax:302-533-5195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-23
Last Update Date:2013-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health