Provider Demographics
NPI:1326176017
Name:ALVAREZ, JASMINE ELIZABETH (BA PSYCHOLOGY)
Entity Type:Individual
Prefix:
First Name:JASMINE
Middle Name:ELIZABETH
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:BA PSYCHOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 GILROY ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-3746
Mailing Address - Country:US
Mailing Address - Phone:415-468-5541
Mailing Address - Fax:
Practice Address - Street 1:41 GILROY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94124-3746
Practice Address - Country:US
Practice Address - Phone:415-468-5541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIN PROCESS101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)