Provider Demographics
NPI:1427807189
Name:ALDER AND OAK COUNSELING LLC
Entity type:Organization
Organization Name:ALDER AND OAK COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:DEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:505-257-8554
Mailing Address - Street 1:3600 CERRILLOS RD STE 303
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507-2694
Mailing Address - Country:US
Mailing Address - Phone:505-257-8554
Mailing Address - Fax:505-930-7813
Practice Address - Street 1:3600 CERRILLOS RD STE 303
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-2694
Practice Address - Country:US
Practice Address - Phone:505-257-8554
Practice Address - Fax:505-930-7813
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALDER AND OAK COUNSELING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty