Provider Demographics
NPI:1174048953
Name:ALVARADO, SASHA MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:MICHELLE
Last Name:ALVARADO
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 1:200 WHITE ROAD SUITE 208
Mailing Address - Street 2:
Mailing Address - City:LITTLER SILVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07739
Mailing Address - Country:US
Mailing Address - Phone:732-945-6771
Mailing Address - Fax:732-842-1794
Practice Address - Street 1:200 WHITE ROAD SUITE 208
Practice Address - Street 2:
Practice Address - City:LITTLER SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739
Practice Address - Country:US
Practice Address - Phone:732-945-6771
Practice Address - Fax:732-842-1794
Is Sole Proprietor?:No
Enumeration Date:2017-08-14
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
NJ37PC613400101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health