William Tyler Alexander, LAC
Counselor, Professional in Phoenix, AZ. Individual provider (NPI-1).
NPI number1144985409
StatusActive
Last updated in NPPESNov 2, 2021
Details
- NPI
- 1144985409
- Entity type
- Individual (NPI-1)
- Name
- William Tyler Alexander
- Credential
- LAC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2021
- Certification date
- Oct 31, 2021
- Last updated
- Nov 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | LAC-19689 | AZ | Yes |
Practice location
2211 E Highland Ave Ste 205Phoenix, AZ 85016-4834
Phone 480-349-3671
Mailing address
2211 E Highland Ave Ste 205Phoenix, AZ 85016-4834
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