Doctor Name: | RUTHANNE ALEXANDER |
NPI Number: | 1194003061 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC |
License Number: | C3372 |
Business Practice Address: | 7526 Crater Lake Hwy White City, OR - 975031617 |
Business Phone Number: | 5418268282 |
Business Fax Number: | 8668268483 |
Mailing Address: | 7526 Crater Lake Hwy, WHITE CITY |
State: | OR |
Postal Code: | 975031617 |
Phone Number: | 5418268282 |
Fax Number: | 8668268483 |
NPI Enumeration Date: | 07/26/2011 |
NPI Last Update Date: | 03/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | C3372 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |