Provider Demographics
NPI:1346754967
Name:QUADE, ALEXANDRA BROOKS (MA LPC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:BROOKS
Last Name:QUADE
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1170 S VALENTINE WAY
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-3654
Mailing Address - Country:US
Mailing Address - Phone:303-568-9770
Mailing Address - Fax:
Practice Address - Street 1:900 S KIPLING PKWY STE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3947
Practice Address - Country:US
Practice Address - Phone:303-568-9770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013711101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health