Individual
MRS. SHANA JEAN ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC, LPC
Contact information
Practice address
9390 RESEARCH BLVD STE 200, AUSTIN, TX 78759-6585
(512) 809-1338
Mailing address
109 OSTRACODA LN, HUTTO, TX 78634-2258
(512) 809-1338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13673
TX
101YM0800X
Mental Health Counselor
78769
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1005098
TX
Other
Enumeration date
10/14/2016
Last updated
12/18/2023
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