Provider Demographics
NPI:1023384328
Name:HOPKINS-ALVAREZ, KELLEY (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:
Last Name:HOPKINS-ALVAREZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-0190
Mailing Address - Country:US
Mailing Address - Phone:203-948-0938
Mailing Address - Fax:203-775-6526
Practice Address - Street 1:100B DANBURY RD SUITE 201D
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877
Practice Address - Country:US
Practice Address - Phone:203-948-0938
Practice Address - Fax:203-775-6526
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002172101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional