Provider Demographics
NPI:1275345589
Name:ALAM, MOHAMMAD (LPC)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:
Last Name:ALAM
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:800 CROSS POINTE RD STE 800D
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6687
Mailing Address - Country:US
Mailing Address - Phone:614-835-6068
Mailing Address - Fax:614-524-0428
Practice Address - Street 1:800 CROSS POINTE RD STE 800D
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6687
Practice Address - Country:US
Practice Address - Phone:614-835-6068
Practice Address - Fax:614-524-0428
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health