Provider Demographics
NPI:1295569143
Name:ALVAREZ, MONICA (LCPC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 E COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2426
Mailing Address - Country:US
Mailing Address - Phone:954-696-1129
Mailing Address - Fax:
Practice Address - Street 1:208 E COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2426
Practice Address - Country:US
Practice Address - Phone:954-696-1129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010999101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health