Provider Demographics
NPI:1811373863
Name:ALVIDREZ, JANNETH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:JANNETH
Middle Name:
Last Name:ALVIDREZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 NORMA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-8605
Mailing Address - Country:US
Mailing Address - Phone:956-460-0070
Mailing Address - Fax:
Practice Address - Street 1:3033 NORMA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-8605
Practice Address - Country:US
Practice Address - Phone:956-460-0070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73898101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional