Provider Demographics
NPI:1447685219
Name:ALVARADO, LIZA JOAN (LPC)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:JOAN
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 W UNION BLVD UNIT 4
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-3732
Mailing Address - Country:US
Mailing Address - Phone:484-523-3886
Mailing Address - Fax:
Practice Address - Street 1:701 W UNION BLVD UNIT 4
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3732
Practice Address - Country:US
Practice Address - Phone:484-523-3886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007112101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional