Individual provider · NPI-1

Mia Alexander, CAADE - 13040-r

Counselor, Addiction (Substance Use Disorder) · Santa Maria, CA

NPI number1528601002
StatusActive
Last updated in NPPESOct 28, 2019

Details

NPI
1528601002
Entity type
Individual (NPI-1)
Name
Ms. Mia Alexander
Credential
CAADE - 13040-r
Sex
Female
Sole proprietor
No
Enumeration date
Oct 28, 2019
Last updated
Oct 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

115 E Fesler St
Santa Maria, CA 93454-4404

Phone 805-922-6597

Mailing address

115 E Fesler St
Santa Maria, CA 93454-4404

Phone 805-922-6597

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