ALEXANDER WIDAS, BS, LMT, CHT, REV

Counselor

Active Individual
NPI: 1114659927

Practice Address

323 WILSON WAY
Larkspur, CA 94939

Phone: (609) 351-1988

Specialties

Specialty Code Primary License
Counselor - Pastoral 101YP1600X No -
Massage Therapist 225700000X No 164.0000760 (VT)
Counselor 101Y00000X Yes 097.0135085 (VT)

Frequently Asked Questions

NPI 1114659927 is the National Provider Identifier for ALEXANDER WIDAS, BS, LMT, CHT, REV, a Counselor provider located in Larkspur, CA. This NPI was enumerated on June 29, 2022.
ALEXANDER WIDAS, BS, LMT, CHT, REV practices at 323 WILSON WAY, Larkspur, CA 94939.

Quick Facts

NPI
1114659927
Type
Individual
Enumerated
Jun 29, 2022
Last Updated
Nov 7, 2022

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