MEDICARE: MRS. A. YVETTE ALVAREZ-ROONEY LPC, LISAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	LISAC-11705	AZ
2	101YP2500X	Professional Counselor	LPC-13342	AZ

General Provider Information

NPI Number	:	1912147802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. A. YVETTE ALVAREZ-ROONEY LPC, LISAC

Provider Business Mailing Address
First Line	:	2850 N. 24TH STREET
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85008
Country	:	US
Telephone Number	:	602-653-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	7000 N. CENTRAL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4502
Country	:	US
Telephone Number	:	623-806-6185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2009
Last Update Date	:	02/28/2014

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