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NPI Code Detail

MEDICARE: KRISTINA ALVAREZ

MEDICARE: KRISTINA ALVAREZ
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
1101YM0800XMental Health CounselorLPCC11449CA

General Provider Information

NPI Number : 1417444209
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA ALVAREZ
Provider Business Mailing Address
First Line : 4025 CAMINO DEL RIO S STE 207
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4108
Country : US
Telephone Number : 619-297-5131
Fax Number :
Provider Business Practice Location Address
First Line : 4161 MARLBOROUGH AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92105-1412
Country : US
Telephone Number : 619-282-7274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 04/22/2022

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Directions to “ KRISTINA ALVAREZ ” Practice Location

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