Doctor Name: | LASHAWNTAY ALEXANDER |
NPI Number: | 1083948939 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 19231 Victory Blvd Suite554 Reseda, CA - 913356308 |
Business Phone Number: | 8187761755 |
Business Fax Number: | |
Mailing Address: | 231 W Avenue G, LANCASTER |
State: | CA |
Postal Code: | 935347600 |
Phone Number: | 4022300658 |
Fax Number: | |
NPI Enumeration Date: | 09/24/2009 |
NPI Last Update Date: | 09/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |