Provider Information for 1639727100
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ALVARO INTERIANO M.Ed, LPC-Intern
Sex: Male
NPI: 1639727100
Last Updated: 2019-09-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||||
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| NPI | 1639727100 | ||||||||||||||
| Enumeration Date | 2019-08-28 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 8703 MEADOWCROFT DR HOUSTON, TX 77063-5006 United States Phone: 713-840-7956 | Fax:713-840-7957 | ||||||||||||||
| Primary Practice Address | 8703 MEADOWCROFT DR HOUSTON, TX 77063-5006 United States Phone: 713-840-7956 | Fax: | ||||||||||||||
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