LARRY ALEXANDER

FORT WORTH, TX
NPI1134711724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  10025)
Enumeration Date2021-02-05
Last Update Date2021-02-05
Business Address
LARRY ALEXANDER LCDC
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-335-3022
Mailing Address
LARRY ALEXANDER LCDC
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4300