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NPI Code Detail

MEDICARE: CECILLE ALEXANDER

MEDICARE: CECILLE ALEXANDER
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
1221700000XArt Therapist
2101YM0800XMental Health CounselorMC61362342WA

General Provider Information

NPI Number : 1801563218
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILLE ALEXANDER
Provider Business Mailing Address
First Line : 4730 UNIVERSITY WAY NE
Second Line : STE 104 #627
City : SEATTLE
State : WA
Zip : 98105
Country : US
Telephone Number : 206-395-6246
Fax Number :
Provider Business Practice Location Address
First Line : 2331 E MADISON ST # 1
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5416
Country : US
Telephone Number : 206-395-6246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2021
Last Update Date : 12/08/2023

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Directions to “ CECILLE ALEXANDER ” Practice Location

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