Individual
ALEXANDER MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1733 SKILLMAN LN, PETALUMA, CA 94952-1250
(510) 910-9675
Mailing address
3805 S 900 E UNIT 1, SALT LAKE CITY, UT 84106-1932
(510) 910-9675
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103339
CA
101YM0800X
Mental Health Counselor
1131040-3501
UT
Other
Enumeration date
05/30/2021
Last updated
05/31/2022
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