Provider Demographics
NPI:1144748914
Name:MARKS, ALEXANDER NICHOLAS
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:NICHOLAS
Last Name:MARKS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:471 MISSION BAY DR
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63040-1523
Mailing Address - Country:US
Mailing Address - Phone:617-717-4242
Mailing Address - Fax:
Practice Address - Street 1:2190 S MASON RD STE 311
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-1639
Practice Address - Country:US
Practice Address - Phone:636-300-9333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-31
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor