MEDICARE: ALEXANDER MACDONALD AF MACDONALD COUNSELING

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1932959715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALEXANDER MACDONALD AF MACDONALD COUNSELING

Provider Business Mailing Address
First Line	:	18700 W LAKE HOUSTON PKWY STE A102
Second Line	:
City	:	ATASCOCITA
State	:	TX
Zip	:	77346-3350
Country	:	US
Telephone Number	:	913-967-9039
Fax Number	:

Provider Business Practice Location Address
First Line	:	18700 W LAKE HOUSTON PKWY STE A102
Second Line	:
City	:	ATASCOCITA
State	:	TX
Zip	:	77346-3350
Country	:	US
Telephone Number	:	913-967-9039
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. ALEXANDER MACDONALD
Credential	:
Telephone Number	:	913-967-9039

Provider Enumeration Date	:	03/25/2024
Last Update Date	:	03/25/2024

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