Tarquin Dillon Alexander, LPCC
Individual provider Active NPI Professional Counselor · Los Angeles, CA
NPI 1790283307 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1790283307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPCC13946 (CA)
- Practice address
- 4099 N Mission Rd
Los Angeles, CA 90032-2697 - Phone
- (323) 221-1746
- NPI assigned
- Jan 29, 2018
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC13946 | CA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC13946 | CA | Yes |
Addresses
Primary practice location
4099 N Mission Rd
Los Angeles, CA 90032-2697
Mailing address
1465 Tamarind Ave # 314
Los Angeles, CA 90028-8412
Other providers in Los Angeles, CA
- Russel Hashimy Alexander
- Sabrina Anasa Alexander
- Shiquita Alexander
- Shirley J. Alexander
- Shorena Alexander
- Terrence Fitzgerald Alexander
- Tianee Alexander
- Twanisha Grace Renee Alexander
- Wednesday Alexander
- Alexandr P. Ford, M.D.
All providers in Los Angeles, CA · Professional 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 Nov 1, 2023. 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.