Individual
DR. CLYDE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D, LMSW
Contact information
Practice address
43996 WOODWARD AVENUE, SUITE 102, BLOOMFIELD HILLS, MI 48302
(248) 335-1711
(248) 335-7950
Mailing address
4787 SHORELINE BLVD., WATERFORD, MI 48329
(248) 499-3655
(248) 383-8081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6801059815
MI
103TB0200X
Cognitive & Behavioral Psychologist
6801059815
MI
104100000X
Social Worker
Primary
6801059815
MI
1041C0700X
Clinical Social Worker
6801059815
MI
Other
Enumeration date
05/01/2007
Last updated
04/11/2017
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