Provider Demographics
NPI:1588496780
Name:ALVAREZ, IRIS (LPC, MA)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LPC, MA
Other - Prefix:
Other - First Name:IRIS
Other - Middle Name:
Other - Last Name:MONTERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1881 S 4TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-5668
Mailing Address - Country:US
Mailing Address - Phone:623-879-2292
Mailing Address - Fax:
Practice Address - Street 1:1881 S 4TH AVE STE B
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-5668
Practice Address - Country:US
Practice Address - Phone:623-879-2292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18033101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health