MEDICARE: MS. VIRGINIA L ALANIZ LPCC DOM

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	171100000X	Acupuncturist	521	NM
2	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407928591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VIRGINIA L ALANIZ LPCC DOM

Provider Business Mailing Address
First Line	:	1620 7TH STREET
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-454-7694
Fax Number	:	505-454-7694

Provider Business Practice Location Address
First Line	:	1620 7TH STREET
Second Line	:
City	:	LAS VEGAS
State	:	NM
Zip	:	87701
Country	:	US
Telephone Number	:	505-454-7694
Fax Number	:	505-454-7694

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	05/13/2009

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