Individual
MICHELLE COMMUNITY COUNSELING AVEDISSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 E 6TH ST # 95376, TRACY, CA 95376-4107
(209) 835-8583
(209) 835-8583
Mailing address
19 E 6TH ST # 95376, TRACY, CA 95376-4107
(209) 835-8583
(209) 835-8583
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
Primary
AMFT158008
CA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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