Provider Demographics
NPI:1881251643
Name:ALONSO, JOSE M SR (LMHC)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:M
Last Name:ALONSO
Suffix:SR
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9456 SW 51ST CT
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-4106
Mailing Address - Country:US
Mailing Address - Phone:305-302-3007
Mailing Address - Fax:
Practice Address - Street 1:9456 SW 51ST CT
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-4106
Practice Address - Country:US
Practice Address - Phone:305-302-3007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-28
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health