Individual
ANGELA ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1799 STUMPF BLVD, BLDG 1 SUITE 2, TERRYTOWN, LA 70056-3950
(504) 261-7512
(504) 309-7131
Mailing address
PO BOX 2567, GRETNA, LA 70054-2567
(504) 261-7512
(504) 309-7131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1004
LA
101YP2500X
Professional Counselor
Primary
2609
LA
106H00000X
Marriage & Family Therapist
703
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2609
LPC
LA
01
—
703
LMFT
LA
Enumeration date
06/05/2007
Last updated
03/09/2017
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