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Individual

JOHN D AVELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC NCC NJSP DRCC

Contact information

Practice address
74 BRICK BLVD, SUITE 206B, BRICK, NJ 08723-7984
(732) 477-0862
(732) 477-0879
Mailing address
74 BRICK BLVD, SUITE 206B, BRICK, NJ 08723-7984
(732) 477-0862
(732) 477-0879

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00152000
NJ

Other

Enumeration date
09/03/2013
Last updated
11/15/2016
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