Provider Demographics
NPI:1518346220
Name:ALVAREZ, ROXANNA (LPC-S, CTRS)
Entity Type:Individual
Prefix:MRS
First Name:ROXANNA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LPC-S, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6602 POLARIS DR.
Mailing Address - Street 2:SUITE #1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041
Mailing Address - Country:US
Mailing Address - Phone:956-898-4286
Mailing Address - Fax:
Practice Address - Street 1:6602 POLARIS DR.
Practice Address - Street 2:SUITE #1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041
Practice Address - Country:US
Practice Address - Phone:956-898-4286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-27
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70255101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health