Individual
MS. BAINE B ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
6602 GRAND TETON PLZ, STE 100, MADISON, WI 53719-1091
(608) 828-3636
(608) 828-3637
Mailing address
1118 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2838
(608) 935-9227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4518-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015037
—
WI
Enumeration date
03/03/2011
Last updated
07/01/2014
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