Individual provider · NPI-1

Angelica Grace Alvarez Titus

Counselor, Professional · Idaho Falls, ID

NPI number1669061255
StatusActive
Last updated in NPPESFeb 21, 2026

Details

NPI
1669061255
Entity type
Individual (NPI-1)
Name
Angelica Grace Alvarez Titus
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2021
Certification date
Feb 21, 2026
Last updated
Feb 21, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional8331071IDYes

Practice location

2265 W Broadway St
Idaho Falls, ID 83402-2996

Phone 208-524-7400 · Fax 208-524-8004

Mailing address

2265 W Broadway St
Idaho Falls, ID 83402-2996

Phone 208-524-7400 · Fax 208-524-8004

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Professional providers in Idaho Falls, ID