Provider Demographics
NPI:1699856500
Name:ALVAREZ, BARRY J (LMFT)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:J
Last Name:ALVAREZ
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6855 GRANDE LN
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-1630
Mailing Address - Country:US
Mailing Address - Phone:703-533-2090
Mailing Address - Fax:
Practice Address - Street 1:207 PARK AVE
Practice Address - Street 2:SUITE B-3
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-4312
Practice Address - Country:US
Practice Address - Phone:703-509-2217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001105101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health