Provider Demographics
NPI:1013547074
Name:ALVARADO, PERLA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:PERLA
Middle Name:
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10465 MELODY DR STE 102
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4124
Mailing Address - Country:US
Mailing Address - Phone:720-743-0947
Mailing Address - Fax:
Practice Address - Street 1:10465 MELODY DR STE 102
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4124
Practice Address - Country:US
Practice Address - Phone:720-743-0947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-18
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017950101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty