Mr Justin Alexander, MA, LPC | |
1402 Village Dr Ste A, Victoria, TX 77901 | |
(361) 894-8734 | |
(361) 894-8735 |
Full Name | Mr Justin Alexander |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1402 Village Dr Ste A, Victoria, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346542701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 64559 (Texas) | Primary |
101YM0800X | Counselor - Mental Health | 64559 (Texas) | Secondary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Mr Justin Alexander, MA, LPC 1402 Village Dr Ste A, Victoria, TX 77901-4157 Ph: (361) 894-8734 | Mr Justin Alexander, MA, LPC 1402 Village Dr Ste A, Victoria, TX 77901 Ph: (361) 894-8734 |
April Marie Guevara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1402 Village Dr, Victoria, TX 77901 Phone: 361-218-4794 | |
Kim Lantiegne Stanfield, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5606 N. Navarro, Ste 200p, Victoria, TX 77901 Phone: 361-485-6645 | |
Mrs. Cleva V Schoener, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2003 Patterson Dr, Victoria, TX 77901 Phone: 361-575-5021 Fax: 361-575-0623 | |
Mrs. Shirley B Johnson, M.ED., LBSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3806 N Main St, Victoria, TX 77901 Phone: 361-485-0899 Fax: 361-485-0817 | |
Ms. Christy Hernandez Rodriguez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 106 Kensington Dr, Victoria, TX 77901 Phone: 361-489-2779 | |
Tracy Dawn Chase, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6502 Nursery Dr, Suite 100, Victoria, TX 77904 Phone: 361-575-0611 Fax: 361-528-2327 | |
Dr. Donald Charles Blavier, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1004 E Guadalupe St, Victoria, TX 77901 Phone: 361-574-9892 Fax: 361-574-9892 |