Individual
KIMBERLY MICHELLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAMS, CCIS, CDVS, PI
Contact information
Practice address
1490B N BROAD ST, LEXINGTON, TN 38351-4700
(731) 798-5055
(731) 968-0400
Mailing address
1490B N BROAD ST, LEXINGTON, TN 38351-4700
(731) 798-5055
(731) 968-0400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
2080C0008X
Child Abuse Pediatrics Physician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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