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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXANDER WIDAS, BS, LMT, CHT, REV

Active

ALEXANDER WIDAS, BS, LMT, CHT, REV is a Counselor healthcare provider located in LARKSPUR, California. NPI 1114659927 is currently active in the NPPES registry. Verify at CMS.

Counselor · LARKSPUR, CA

Registration Details

NPI Number
1114659927
Provider Type
Individual
Gender
Male
NPI Issued
Jun 29, 2022 (4.1731733283418 yrs)
Last Updated
Nov 7, 2022
Licenses
MT.0024401 (CO)
164.0000760 (VT)
097.0135085 (VT)

Practice Information

Address
323 WILSON WAY
LARKSPUR, CA, 949391938
Browse CA providers · Browse ZIP 94939
Phone
6093511988
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Massage Therapist
Additional Specialty
Massage Therapist
Additional Specialty
Counselor

Other Counselor Providers in LARKSPUR, CA

Name Credential NPI
DR. JOHANNES PETRUS ROUX PHD LMFT 1225791841
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.