Doctor Name: | ALEXANDER F MACDONALD |
NPI Number: | 1013904580 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSCSW |
License Number: | 4824 |
Business Practice Address: | Psc 47 Box 1004 Apo, AE - 094709998 |
Business Phone Number: | 07711042158 |
Business Fax Number: | |
Mailing Address: | Psc 47, Box 1004 APO |
State: | AE |
Postal Code: | 094709998 |
Phone Number: | 07711042158 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2005 |
NPI Last Update Date: | 08/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4824 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |