| Doctor Name: | ALEX SUAREZ |
| NPI Number: | 1083807630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW-30716 |
| Business Practice Address: | 85 S Main St Driggs, ID - 834229700 |
| Business Phone Number: | 2083543005 |
| Business Fax Number: | |
| Mailing Address: | 85 S Main St, DRIGGS |
| State: | ID |
| Postal Code: | 834229700 |
| Phone Number: | 2083543005 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2007 |
| NPI Last Update Date: | 04/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-30716 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |