The only time alignment changes will be a problem for you, is when you want to level up in a class requiring a specific alignment. You can't be Lawful and gain levels as barbarian, or Lawful/True/Chaotic Neutral and advance as assassin, for example.
The titles are tied to 'perfect' alignments, times when you have a 0, 50 or 100 on both axes.
They're not important.
You can view your alignment on your character sheet.
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