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Individual
MIGUEL ANGEL AVALOS
Active
Individual
MIGUEL ANGEL AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2019
Last updated
12/19/2019
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