Mark Anthony Alvidrez
Individual provider Active NPI Mental Health Counselor · Grass Valley, CA
NPI 1013655307 · NPPES record last updated May 25, 2022
Key facts
- NPI
- 1013655307
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 900 E Main St Ste 201
Grass Valley, CA 95945-5853 - Phone
- (530) 273-2244
- NPI assigned
- May 25, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
900 E Main St Ste 201
Grass Valley, CA 95945-5853
Mailing address
900 E Main St Ste 201
Grass Valley, CA 95945-5853
Phone (530) 273-2244
Other providers in Grass Valley, CA
- Rochelle Allen
- Lisa Diane Cuccia Allington
- Nicole M Allio
- Elizabeth M Aloisa
- Alpine Allergy and Asthma Associates Inc.
- Brianna Amaro
- David Ames
- Annette Anderson
- Haley Renee Anderson
- Heather Anderson
All providers in Grass Valley, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.