Provider Demographics
NPI:1053833590
Name:ALVARADO PEREZ, KRISTINA (LMFT)
Entity Type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:ALVARADO PEREZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:
Other - Last Name:ALVARADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFTA
Mailing Address - Street 1:PO BOX 108
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93002-0108
Mailing Address - Country:US
Mailing Address - Phone:562-833-1622
Mailing Address - Fax:
Practice Address - Street 1:1429 N 45TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6706
Practice Address - Country:US
Practice Address - Phone:206-395-6328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60960483106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist