Doctor Name: | LOVINIA ALEXANDER |
NPI Number: | 1528326519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CDC |
License Number: | |
Business Practice Address: | 1115 B Street Plummer, ID - 838510388 |
Business Phone Number: | 2086861449 |
Business Fax Number: | 2086865813 |
Mailing Address: | Po Box 388, 1115 B Street PLUMMER |
State: | ID |
Postal Code: | 838510388 |
Phone Number: | 2086861449 |
Fax Number: | 2086865813 |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 04/26/2012 |
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: |