| Organization Name: | ALEXANDER COUNSELING CENTER, LLC |
| NPI Number: | 1497170658 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUTHANNE MARIE ALEXANDER (MENTAL HEALTH COUNSELOR) |
| Mailing Address: | 7526 Crater Lake Hwy White City |
| State: | OR US |
| Postal Code: | 975031617 |
| Phone Number: | 5418268282 |
| Fax Number: | 8668268483 |
| NPI Enumeration Date: | 02/25/2014 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | R2261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |