Individual
ALEXIS NICOLE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8626 LOWER SACRAMENTO RD, #41, STOCKTON, CA 95210-1835
(209) 478-2487
Mailing address
PO BOX 691205, STOCKTON, CA 95269-1205
(209) 373-0185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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