MEDICARE: JESSICA A 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
1	106S00000X	Behavior Technician
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1629705694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA A ALVAREZ

Provider Business Mailing Address
First Line	:	561 E LINDO AVE STE B
Second Line	:
City	:	CHICO
State	:	CA
Zip	:	95926-2266
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 SOLITUDE DR
Second Line	:
City	:	OAKLEY
State	:	CA
Zip	:	94561-2297
Country	:	US
Telephone Number	:	800-430-4490
Fax Number	:

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

Provider Enumeration Date	:	08/01/2022
Last Update Date	:	08/22/2023

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Directions to “ JESSICA A ALVAREZ ” Practice Location

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