Individual
CYNTHIA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2829 4TH AVE, LAKE CHARLES, LA 70601-7887
(337) 477-7091
Mailing address
2829 4TH AVE, LAKE CHARLES, LA 70601-7887
(337) 477-7091
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551228
—
LA
Enumeration date
03/15/2018
Last updated
11/05/2019
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