Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alejandro Antonio Tavira, CG60475423

Individual provider Mental Health Counselor · NPI 1588136048

Alejandro Antonio Tavira, CG60475423 is a Mental Health Counselor in University Place, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7610 40th St W Ste 300
University Place, WA 98466-3834
Phone: (253) 830-6242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X · Licence CG60475423 (WA)

Record details

NPI number1588136048
Entity typeIndividual (Type 1)
GenderMale
Credentials CG60475423
Sole proprietorYes
NPI enumeratedDecember 21, 2018
Last updated in NPPESSeptember 5, 2019

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