Provider Demographics
NPI:1487286142
Name:ALVAREZ-PADILLA, NORA CECILIA
Entity type:Individual
Prefix:
First Name:NORA
Middle Name:CECILIA
Last Name:ALVAREZ-PADILLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 FOURTEENTH STREET, FIRST FLOOR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501
Mailing Address - Country:US
Mailing Address - Phone:951-788-8812
Mailing Address - Fax:951-924-9754
Practice Address - Street 1:3333 14TH ST.
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501
Practice Address - Country:US
Practice Address - Phone:951-788-8812
Practice Address - Fax:951-924-9754
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC7289101YM0800X
CALPCC16990101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health