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Organization

AVID MENTAL HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA JUN PMHNP (COO)
(623) 298-5044
Entity
Organization

Contact information

Practice address
100 N HOWARD ST STE R, SPOKANE, WA 99201-0508
(623) 298-5044
Mailing address
640 S SUNSET AVE STE 102, WEST COVINA, CA 91790-2808

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
02/12/2024
Last updated
03/27/2024
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