Octavio Alvarez Hernandez
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Eureka, CA
NPI 1215548359 · NPPES record last updated Aug 12, 2020
Key facts
- NPI
- 1215548359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 2107 1St St
Eureka, CA 95501-0840 - Phone
- (707) 273-6395
- Fax
- (707) 442-2058
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Current |
Accepting new patients |
Locations
2107 1st St
Eureka, CA 95501
Phone (707) 273-6395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
2107 1St St
Eureka, CA 95501-0840
Mailing address
2107 1St St
Eureka, CA 95501-0840
Phone (707) 273-6395
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | octavio.alvarez@aegistreatmentcenters.com | Direct |
Other providers in Eureka, CA
- Justin Anthony Alora-Bryant
- Altea Medical California PC
- Staci Louise Altomare
- Carlos Alberto Alvarado Ramirez
- Nicole Kim Alvarado
- Mya Ashlyn Alves
- Philip Alway
- Tiffany Alway
- Jose Amaral
- Edith Nungong Amba
All providers in Eureka, CA · Addiction (Substance Use Disorder) 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 Aug 12, 2020. 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.