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Provider Information for 1295075356


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Dr. JOSE GERARDO ALVARADO LPC


Sex: Male

NPI: 1295075356
Last Updated: 2015-02-26
Certification Date:

Details

NameValue
NPI1295075356
Enumeration Date2013-02-26
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1607
SAN ANTONIO, TX 78296-1607
United States

Phone: 210-558-6288 | Fax:210-558-6289
 
Primary Practice Address 10839 QUARRY PARK
SAN ANTONIO, TX 78233-4681
United States

Phone: 210-257-6260 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101Y00000X - Counselor TX16292
No 101YM0800X - Counselor - Mental HealthTX16292
Yes 101YP2500X - Counselor - ProfessionalTX16292