Organization
CHANGE M.F.C.R
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA ALVAREZ LMFT (PRESIDENT)
(407) 485-5445
Entity
Organization
Contact information
Practice address
1109 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701-5000
(407) 485-5445
(407) 577-2096
Mailing address
620 MAITLAND AVE, ALTAMONTE SPRINGS, FL 32701-6834
(407) 875-5704
(407) 577-2096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/06/2016
Last updated
07/22/2019
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