Christian Alfaro
Individual provider Active NPI Marriage & Family Therapist · La Crosse, WI
NPI 1104612472 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1104612472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1151-228 (WI)
- Practice address
- 115 5TH Ave S Ste 301
La Crosse, WI 54601-4098 - Phone
- (608) 785-0827
- NPI assigned
- Apr 15, 2025
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151-228 | WI | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1151-228 | WI | Yes |
Addresses
Primary practice location
115 5TH Ave S Ste 301
La Crosse, WI 54601-4098
Mailing address
115 5TH Ave S Ste 301
La Crosse, WI 54601-4098
Phone (608) 785-0827
Other providers in La Crosse, WI
- David Roger Blaney Alderman
- Chelsea M Ale
- Gregory Aleckson
- Ronald Alexander II
- Mareah Alexander
- Christine R Alioto
- Mariah Allard
- Amanda Agnes Allen
- Brian Kenelm Allen
- Eugena Allen
All providers in La Crosse, WI · Marriage & Family Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. 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.