Individual
AUTUMN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG61683928
WA
175T00000X
Peer Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
08/27/2024
Last updated
06/10/2026
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