Individual
AUDREY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2058 MAPLE AVE APT M1-10, HATFIELD, PA 19440-1452
(215) 353-8931
Mailing address
2058 MAPLE AVE APT M1-10, HATFIELD, PA 19440-1452
(215) 353-8931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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