| Doctor Name: | SHAWN ALEXANDER |
| NPI Number: | 1407098668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | LPC005531 |
| Business Practice Address: | 1070 441 Historic Hwy N Suite E-4 Demorest, GA - 305354144 |
| Business Phone Number: | 7067680010 |
| Business Fax Number: | |
| Mailing Address: | 1070 441 Historic Hwy N, Suite E-4 DEMOREST |
| State: | GA |
| Postal Code: | 305354144 |
| Phone Number: | 7067680010 |
| Fax Number: | |
| NPI Enumeration Date: | 04/01/2009 |
| NPI Last Update Date: | 07/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC005531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |