Organization
AVERY CENTRE
Active
Organization
AVERY CENTRE
Active
Other names
Avery's Heroes
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDEE VENOSTA MS, MA, MFT-I (MANAGER)
(760) 805-4127
Entity
Organization
Contact information
Practice address
5871 PINE AVE, SUITE 230, CHINO HILLS, CA 91709
(909) 597-2226
Mailing address
5871 PINE AVE, SUITE 230, CHINO HILLS, CA 91709-6537
(909) 597-2226
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT96181
CA
251S00000X
Community/Behavioral Health Agency
Primary
PSY24897
—
Other
Enumeration date
07/15/2015
Last updated
01/06/2017
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