Provider Information for 1346542701
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Mr. JUSTIN ALEXANDER M.A., LPC
Sex: Male
NPI: 1346542701
Last Updated: 2018-06-28
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1346542701 | ||||||||||||
| Enumeration Date | 2010-11-17 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1402 VILLAGE DR STE A VICTORIA, TX 77901-4157 United States Phone: 361-894-8734 | Fax:361-894-8735 | ||||||||||||
| Primary Practice Address | 1402 VILLAGE DR STE A VICTORIA, TX 77901 United States Phone: 361-894-8734 | Fax:361-894-8735 | ||||||||||||
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