Individual
NIA MONET AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 COLLIER STREET, HOLLY HILL, SC 29059
Mailing address
PO BOX 935, HOLLY HILL, SC 29059-0935
(803) 496-6071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A17116
NC
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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