Provider Demographics
NPI:1386227197
Name:ALEXANDER, KAREN MICHELLE (LMFT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:MICHELLE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17374 N 89TH AVE APT 2001
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8149
Mailing Address - Country:US
Mailing Address - Phone:949-304-4968
Mailing Address - Fax:
Practice Address - Street 1:17374 N 89TH AVE APT 2001
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-8149
Practice Address - Country:US
Practice Address - Phone:949-304-4968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-29
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16247106H00000X
CA138686106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist