Individual provider · Type 1 NPI
Alexander Widas, BS, LMT, CHT, REV
Counselor · Larkspur, CA
NPI number
1114659927
Active
Practice location
323 Wilson Way
Larkspur, CA 94939-1938
Mailing address
306 Redstone Blvd
Carbondale, CO 81623-8926
Other practice locations
- 113 Church St, Burlington, VT 05401-4482 · (609) 351-1988
- 306 Redstone Blvd, Carbondale, CO 81623-8926 · (609) 351-1988
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pastoral Counselor | 101YP1600X | None listed |
| Massage Therapist | 225700000X | MT.0024401 (CO) |
| Massage Therapist | 225700000X | 164.0000760 (VT) |
| Counselor Primary | 101Y00000X | 097.0135085 (VT) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Larkspur
About NPI 1114659927
Alexander Widas, BS, LMT, CHT, REV's National Provider Identifier is 1114659927, issued on Jun 29, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Larkspur, CA. The record was last updated on Nov 7, 2022.