Loretta Alexander
Individual provider Active NPI Counselor · Ukiah, CA
NPI 1194241406 · NPPES record last updated Aug 17, 2017
Key facts
- NPI
- 1194241406
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 780 S Dora St
Ukiah, CA 95482-5348 - Phone
- (707) 472-2922
- NPI assigned
- Aug 17, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
780 S Dora St
Ukiah, CA 95482-5348
Mailing address
PO Box 2077
Ukiah, CA 95482-2077
Phone (707) 472-2922
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.