Doctor Name: | MR. JUAN YGNACIO ALVAREZ |
NPI Number: | 1144637406 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 3122 |
Business Practice Address: | 1003 Island View St Kemah, TX - 775652168 |
Business Phone Number: | 2813344389 |
Business Fax Number: | |
Mailing Address: | 5656 Gasmer Dr., HOUSTON |
State: | TX |
Postal Code: | 77035 |
Phone Number: | 7134222650 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2014 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3122 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |