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Organization
MARIA T AVALOS
Active
Organization
MARIA T AVALOS
Active
Other names
TERESA AVALOS LMCH LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA T AVALOS EDM LMCH (OWNER)
(509) 851-7740
Entity
Organization
Contact information
Practice address
8350 W GRANDRIDGE BLVD STE 200, KENNEWICK, WA 99336-1678
(509) 851-7740
Mailing address
PO BOX 4464, PASCO, WA 99302-4464
(509) 851-7740
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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