Provider Demographics
NPI:1326463365
Name:GARCIA, ALFONSO JR (MFT)
Entity Type:Individual
Prefix:MR
First Name:ALFONSO
Middle Name:
Last Name:GARCIA
Suffix:JR
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6528 GREENLEAF AVE # 216
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90601-4131
Mailing Address - Country:US
Mailing Address - Phone:562-895-8820
Mailing Address - Fax:
Practice Address - Street 1:6528 GREENLEAF AVE # 216
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-4131
Practice Address - Country:US
Practice Address - Phone:562-895-8820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 39141106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist