Healthcare Provider Details

I. General information

NPI: 1245197755
Provider Name (Legal Business Name): ENRIQUE ALVAREZ LMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 SE BISHOP BLVD STE N
PULLMAN WA
99163-5414
US

IV. Provider business mailing address

PO BOX 213
PULLMAN WA
99163-0213
US

V. Phone/Fax

Practice location:
  • Phone: 509-631-8363
  • Fax:
Mailing address:
  • Phone: 509-631-8363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC70050428
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: