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NICK VALENTINE AVILA LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1639471485
Individual Registrant: NICK VALENTINE AVILA LCSW
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
209 E 7TH ST MADERA, CA 93638-3780 US
Tel: 559-673-3508 Fax: --
Tel: 559-673-3508 Fax: --
Contact information for business:
209 E 7TH ST MADERA, CA 93638-3780 US
Tel: 559-673-3508 Fax: --
Tel: 559-673-3508 Fax: --
Registration Information:
NPI: 1639471485
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | 75883 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
