Provider Demographics
NPI:1205984515
Name:JAVUREK, ALAN JOHN (LMFT)
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:JOHN
Last Name:JAVUREK
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 GAGE DR APT 108
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-5610
Mailing Address - Country:US
Mailing Address - Phone:408-348-2357
Mailing Address - Fax:
Practice Address - Street 1:2600 GAGE DR APT 108
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92010-5610
Practice Address - Country:US
Practice Address - Phone:408-354-4068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 15922106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist