Provider Demographics
NPI:1215449533
Name:RIGDA, ALEXANDER J (LPCC-LICDC)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:J
Last Name:RIGDA
Suffix:
Gender:M
Credentials:LPCC-LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1257 W CLIFTON BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-1008
Mailing Address - Country:US
Mailing Address - Phone:440-320-8121
Mailing Address - Fax:
Practice Address - Street 1:1257 W CLIFTON BLVD FL 1
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-1008
Practice Address - Country:US
Practice Address - Phone:440-320-8121
Practice Address - Fax:440-320-8121
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-26
Last Update Date:2017-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.161571101YA0400X
OHE.1700374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)