Individual
CARLOS MONTIEL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Mailing address
309 NEW INDIAN TRAIL CT, AURORA, IL 60506-2411
(630) 966-4000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821115119
ASSOCIATION FOR INDIVIDUAL DEVELOPMENT
—
Enumeration date
12/04/2024
Last updated
12/04/2024
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