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VANIA AVILES

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

Registrant NPI Number: 1306332044

Individual Registrant:
 VANIA  AVILES 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3630 E IMPERIAL HWY  LYNWOOD, CA 90262-2609 US
Tel: 310-900-8490  Fax: 310-900-8889

Contact information for business:
407 N CURTIS AVE APT E  ALHAMBRA, CA 91801-2129 US
Tel: 626-232-7570  Fax: --

Registration Information:
NPI: 1306332044
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CA89832

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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