Individual
MR. STEVEN MICHAEL AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PPS, APCC
Contact information
Practice address
1440 N HARBOR BLVD STE 600A, FULLERTON, CA 92835-4119
(714) 406-0151
Mailing address
3615 GRANT ST, CORONA, CA 92879-2020
(951) 258-4546
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
APCC16299
CA
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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