MEDICARE: MICHELLE NICOLE 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
1	106H00000X	Marriage & Family Therapist	AMFT161670	CA

General Provider Information

NPI Number	:	1902363435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE NICOLE ALEXANDER

Provider Business Mailing Address
First Line	:	PO BOX 12355
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92859-8355
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N BARRANCA ST STE 130
Second Line	:
City	:	WEST COVINA
State	:	CA
Zip	:	91791-1637
Country	:	US
Telephone Number	:	626-433-1311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2019
Last Update Date	:	04/06/2026

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Directions to “ MICHELLE NICOLE ALEXANDER ” Practice Location

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