Provider Demographics
NPI:1831975606
Name:CHALLSTROM, ALEXIS (MSW)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CHALLSTROM
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1155 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2827
Mailing Address - Country:US
Mailing Address - Phone:775-224-5339
Mailing Address - Fax:
Practice Address - Street 1:1155 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2827
Practice Address - Country:US
Practice Address - Phone:775-224-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator