Healthcare Provider Details

I. General information

NPI: 1891294799
Provider Name (Legal Business Name): ALVA EUGENE WARD JR. LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2018
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 492703
REDDING CA
96049-2703
US

IV. Provider business mailing address

PO BOX 492703
REDDING CA
96049-2703
US

V. Phone/Fax

Practice location:
  • Phone: 530-953-8228
  • Fax:
Mailing address:
  • Phone: 530-953-8228
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA052910422
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number21611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: