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NPI Code Detail

MEDICARE: VICKIE ALEXANDER MS (LPC)

MEDICARE: VICKIE ALEXANDER MS (LPC)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor5474OK
2101Y00000XCounselorOK

General Provider Information

NPI Number : 1780939736
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE ALEXANDER MS (LPC)
Provider Business Mailing Address
First Line : PO BOX 22994
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73123-1994
Country : US
Telephone Number : 405-312-3630
Fax Number : 405-445-7669
Provider Business Practice Location Address
First Line : 917 CEDAR LAKE BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7813
Country : US
Telephone Number : 405-312-3630
Fax Number : 405-445-7669
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2012
Last Update Date : 06/02/2021

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