Lance Nathan Alexander, RT1447150626

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Sonora, CA

NPI 1538078464 · NPPES record last updated Sep 4, 2026

Key facts

NPI
1538078464
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
RT1447150626 (CA)
Practice address
19331 Susan Way
Sonora, CA 95370-9209
Phone
(209) 588-7018
Fax
(209) 396-3345
NPI assigned
Sep 4, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YA0400X RT1447150626 CA Yes

Addresses

Primary practice location

19331 Susan Way
Sonora, CA 95370-9209

Mailing address

19401 Susan Way
Sonora, CA 95370-9266
Phone (209) 588-7018

Other providers in Sonora, CA

All providers in Sonora, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.