MEDICARE: MRS. CRISTINA ALVAREZ LMHC

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	101YM0800X	Mental Health Counselor	MH11149	FL

General Provider Information

NPI Number	:	1215436761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CRISTINA ALVAREZ LMHC

Provider Business Mailing Address
First Line	:	PO BOX 592833
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32859-2833
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4526 CALENDULA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32839-3115
Country	:	US
Telephone Number	:	407-212-2551
Fax Number	:

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

Provider Enumeration Date	:	02/09/2018
Last Update Date	:	02/09/2018

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