Individual
ALEXANDER LEWIS DEWOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT
Contact information
Practice address
300 SUNNY HILLS DR, SAN ANSELMO, CA 94960-9496
(415) 720-8969
Mailing address
300 SUNNYHILLS DR, SAN ANSELMO, CA 94960-1909
(415) 748-4627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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