Healthcare Provider Details

I. General information

NPI: 1578498549
Provider Name (Legal Business Name): CAROL ALEXANDER LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22391 WALLINGFORD LN
HUNTINGTON BEACH CA
92646-8453
US

IV. Provider business mailing address

22391 WALLINGFORD LN
HUNTINGTON BEACH CA
92646-8453
US

V. Phone/Fax

Practice location:
  • Phone: 949-836-4081
  • Fax:
Mailing address:
  • Phone: 949-836-4081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17522
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: