Individual
MRS. LUCINDA MARIE ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CDP
Contact information
Practice address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Mailing address
404 W MAIN ST, KELSO, WA 98626-1118
(360) 423-2806
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60494203
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60494203
WA
Other
Enumeration date
01/28/2016
Last updated
04/22/2021
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