Individual
DOUGLAS L ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LISAC
Contact information
Practice address
5497 W MCCARTNEY RD, CASA GRANDE, AZ 85222-7423
(520) 723-9800
(520) 723-3260
Mailing address
2155 W KIVA AVE, MESA, AZ 85202-6463
(602) 619-0071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10680
AZ
101YM0800X
Mental Health Counselor
10680
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105362
—
AZ
01
—
10680
LISAC
AZ
Enumeration date
09/20/2006
Last updated
10/19/2009
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