Provider Demographics
NPI:1154812873
Name:ALVAREZ, NADIA (MS, LMFT)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 DAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91766-5101
Mailing Address - Country:US
Mailing Address - Phone:626-383-0240
Mailing Address - Fax:
Practice Address - Street 1:21660 COPLEY DR STE 210
Practice Address - Street 2:
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91765-4109
Practice Address - Country:US
Practice Address - Phone:909-287-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106491106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist