Provider Demographics
NPI:1174883508
Name:ALVA, TIRZAH K (LPCC)
Entity type:Individual
Prefix:MS
First Name:TIRZAH
Middle Name:K
Last Name:ALVA
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 20452
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87154-0452
Mailing Address - Country:US
Mailing Address - Phone:505-823-4530
Mailing Address - Fax:505-823-4538
Practice Address - Street 1:717 ENCINO PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-2611
Practice Address - Country:US
Practice Address - Phone:505-823-4530
Practice Address - Fax:505-823-4538
Is Sole Proprietor?:No
Enumeration Date:2012-05-18
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM0149201101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health