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MS. QUETZALLI AVILEZ

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1689150443

Individual Registrant:
MS. QUETZALLI  AVILEZ 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1529 GRAND AVE STE A  SAN MARCOS, CA 92078-2464 US
Tel: 760-798-0299  Fax: 760-798-0399

Contact information for business:
1529 GRAND AVE STE A  SAN MARCOS, CA 92078-2464 US
Tel: 760-798-0299  Fax: 760-798-0399

Registration Information:
NPI: 1689150443
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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