Provider Demographics
NPI:1831650530
Name:ALARCON, WINFRED (LMFT)
Entity type:Individual
Prefix:
First Name:WINFRED
Middle Name:
Last Name:ALARCON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:ALARCON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:4780 155 N
Mailing Address - Street 2:STE 116 202048
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211
Mailing Address - Country:US
Mailing Address - Phone:619-722-8148
Mailing Address - Fax:
Practice Address - Street 1:1111 6TH AVE STE 550
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-5211
Practice Address - Country:US
Practice Address - Phone:619-722-8148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CALMFT134460106H00000X
FLTPMF799106H00000X
VA0717002244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program