Provider Demographics
NPI:1194824979
Name:ALFARO, GERMAN A (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:GERMAN
Middle Name:A
Last Name:ALFARO
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16440 SW 137TH AVE APT 626
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-2286
Mailing Address - Country:US
Mailing Address - Phone:786-543-5774
Mailing Address - Fax:
Practice Address - Street 1:16440 SW 137TH AVE APT 626
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-2286
Practice Address - Country:US
Practice Address - Phone:786-543-5774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL103K00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst