Individual
ALEXANDER GLENN GANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, AMFT
Contact information
Practice address
10775 PIONEER TRL STE 215, TRUCKEE, CA 96161-0234
(415) 424-4266
(415) 520-6633
Mailing address
8300 ESTERS BLVD STE 900, IRVING, TX 75063-2233
(415) 424-4266
(415) 520-6633
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
127027
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/22/2019
Last updated
07/14/2023
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