Provider Demographics
NPI:1497510390
Name:ALVARANGA, TOMIKA (LCADC, LCAS)
Entity Type:Individual
Prefix:
First Name:TOMIKA
Middle Name:
Last Name:ALVARANGA
Suffix:
Gender:F
Credentials:LCADC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5017 WINDERMERE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-5845
Mailing Address - Country:US
Mailing Address - Phone:201-554-9751
Mailing Address - Fax:
Practice Address - Street 1:5017 WINDERMERE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-5845
Practice Address - Country:US
Practice Address - Phone:201-554-9751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00262900101YA0400X
NCLCAS-28398101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)