Provider Demographics
NPI:1831757871
Name:BLOW, ALVERA (MSW, LSWAIC)
Entity type:Individual
Prefix:
First Name:ALVERA
Middle Name:
Last Name:BLOW
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 CANTERBURY LN APT 70
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-1184
Mailing Address - Country:US
Mailing Address - Phone:401-390-1370
Mailing Address - Fax:
Practice Address - Street 1:2203 OLD HWY 99 S
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-9009
Practice Address - Country:US
Practice Address - Phone:360-542-8810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
WASC61112400101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program