Individual
CAMILO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5903 KENDALL CV, SAN ANTONIO, TX 78244-1096
(210) 219-9502
Mailing address
5903 KENDALL CV, SAN ANTONIO, TX 78244-1096
(210) 219-9502
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
80711
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
TX
101YM0800X
Mental Health Counselor
Primary
80711
TX
Other
Enumeration date
02/11/2020
Last updated
09/25/2023
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