Provider Demographics
NPI:1306324116
Name:ALVAREZ, ALEJANDRA (LPCCA)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LPCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6753
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6753
Mailing Address - Country:US
Mailing Address - Phone:760-777-7720
Mailing Address - Fax:760-452-8532
Practice Address - Street 1:43585 MONTEREY AVE STE 1
Practice Address - Street 2:
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-9398
Practice Address - Country:US
Practice Address - Phone:760-777-7720
Practice Address - Fax:760-452-8532
Is Sole Proprietor?:No
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCCA1917106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist