Patricia Marie Alexander, LCPC
Individual provider Active NPI Professional Counselor · Boise, ID
NPI 1275634776 · NPPES record last updated Mar 2, 2011
Key facts
- NPI
- 1275634776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LCPC42 (ID)
- Practice address
- 410 S Orchard St
Suite 132
Boise, ID 83705-1260 - Phone
- (208) 724-2448
- Fax
- (208) 426-0464
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC42 | ID | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC42 | ID | Yes |
Addresses
Primary practice location
410 S Orchard St
Suite 132
Boise, ID 83705-1260
Mailing address
3466 S Pimmit PL
Boise, ID 83706-6427
Phone (208) 724-2448
Other providers in Boise, ID
- Diana C Alexander
- Erin Alexander
- Faith Alexander
- Hailey Alexander
- Jared J Alexander
- Scott D Alexander
- Isabella I Alfaro
- Luke Daniel Algate
- Kristine B Ali
- Alice Sternke & Assoc Inc
All providers in Boise, ID · Professional Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2011. 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.