Provider Demographics
NPI:1932664232
Name:ALEXANDER-LEWIS, CORTNI T (LMFT)
Entity type:Individual
Prefix:
First Name:CORTNI
Middle Name:T
Last Name:ALEXANDER-LEWIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9093 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-1554
Mailing Address - Country:US
Mailing Address - Phone:424-394-1205
Mailing Address - Fax:
Practice Address - Street 1:9093 SYCAMORE AVE UNIT 108
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-1553
Practice Address - Country:US
Practice Address - Phone:909-685-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA148034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health