Provider Demographics
NPI:1154383081
Name:ALVAREZ, CORRIE RUSCH (MA, LPC)
Entity type:Individual
Prefix:
First Name:CORRIE
Middle Name:RUSCH
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3907 E 120TH AVE
Mailing Address - Street 2:STE. 201
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1681
Mailing Address - Country:US
Mailing Address - Phone:303-920-9103
Mailing Address - Fax:
Practice Address - Street 1:3907 E 120TH AVE
Practice Address - Street 2:STE. 201
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1681
Practice Address - Country:US
Practice Address - Phone:303-920-9103
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1332101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional