Provider Demographics
NPI:1659776466
Name:ALVAREZ, MILENA (LCADC, LPC)
Entity Type:Individual
Prefix:
First Name:MILENA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LCADC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 KING GEORGE LN
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3364
Mailing Address - Country:US
Mailing Address - Phone:203-727-3788
Mailing Address - Fax:
Practice Address - Street 1:1508 KING GEORGE LN
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-3364
Practice Address - Country:US
Practice Address - Phone:203-727-3788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00199900101YA0400X
NJ37PC00503900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)