Individual
BRYAN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
510 S VERMONT AVE FL 21, LOS ANGELES, CA 90020-1912
(213) 760-4831
Mailing address
510 S VERMONT AVE FL 21, LOS ANGELES, CA 90020-1912
(213) 760-4831
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW 69857
CA
1041C0700X
Clinical Social Worker
Primary
104916
CA
Other
Enumeration date
12/21/2015
Last updated
09/03/2025
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