Terrence Fitzgerald Alexander

Individual provider Active NPI Pastoral Counselor · Los Angeles, CA

NPI 1417533191 · NPPES record last updated Mar 22, 2021

Key facts

NPI
1417533191
Entity type
Individual (NPI type 1)
Primary specialty
Pastoral Counselor 101YP1600X
Practice address
112 W 5TH St Apt 360
Los Angeles, CA 90013-2631
Phone
(213) 374-6879
NPI assigned
Mar 22, 2021
Sex
Male
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Yes

Addresses

Primary practice location

112 W 5TH St Apt 360
Los Angeles, CA 90013-2631

Mailing address

112 W 5TH St Apt 360
Los Angeles, CA 90013-2631
Phone (213) 374-6879

Other providers in Los Angeles, CA

All providers in Los Angeles, CA · Pastoral Counselor in California

Sources for this page

Verify at the official NPI Registry.