Alexander Juarros
Individual provider Active NPI Counselor · Willits, CA
NPI 1669990867 · NPPES record last updated Sep 7, 2017
Key facts
- NPI
- 1669990867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 110 E Mendocino Ave
Willits, CA 95490-3508 - Phone
- (707) 459-6222
- NPI assigned
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Community Services, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
110 E Mendocino Ave
Willits, CA 95490-3508
Mailing address
631 S Orchard Ave
Ukiah, CA 95482-5011
Phone (707) 467-2010
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 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.