Individual
MS. CAROLYNN MARIE ALVORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RN, LLP, LPC, CC
Contact information
Practice address
8799 GULL RD, #6, RICHLAND, MI 49083-9100
(269) 207-7895
(269) 731-5486
Mailing address
8155 N 40TH ST, AUGUSTA, MI 49012-9261
(269) 731-5486
(269) 731-5486
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401002275
MI
103TC1900X
Counseling Psychologist
Primary
6301009110
MI
163WC0400X
Case Management Registered Nurse
4704117831
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11833182
CAQH
MI
Enumeration date
04/17/2008
Last updated
04/17/2008
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