Provider Demographics
NPI:1982094249
Name:ALVARO, JAY (PHD)
Entity Type:Individual
Prefix:
First Name:JAY
Middle Name:
Last Name:ALVARO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8707
Mailing Address - Country:US
Mailing Address - Phone:828-651-6290
Mailing Address - Fax:
Practice Address - Street 1:5904 GUNNISON TURN RD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78738-6076
Practice Address - Country:US
Practice Address - Phone:828-651-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1167106H00000X
TX204787106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist