Provider Demographics
NPI:1437451036
Name:CAVLAN, LILIAN ALFARO (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:LILIAN
Middle Name:ALFARO
Last Name:CAVLAN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 W PARR AVE STE O
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1416
Mailing Address - Country:US
Mailing Address - Phone:408-230-7963
Mailing Address - Fax:
Practice Address - Street 1:700 W PARR AVE STE O
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1416
Practice Address - Country:US
Practice Address - Phone:408-357-3155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-02
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA64604OtherIMF NUMBER
CA1164598306OtherMARCELA SANDATE
CA1528399516OtherSTACY SHWAGER