Provider Demographics
NPI:1891833356
Name:PEVAR, ALAN MARK (MFT)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:MARK
Last Name:PEVAR
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8200 STOCKDALE HWY STE M10 #188
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-1029
Mailing Address - Country:US
Mailing Address - Phone:661-322-4000
Mailing Address - Fax:661-873-9314
Practice Address - Street 1:5301 OFFICE PARK DR STE 225
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0666
Practice Address - Country:US
Practice Address - Phone:661-322-4000
Practice Address - Fax:661-873-9314
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16538106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist