Individual
CHARLES ALLEN AVERA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
104 MAXWELL RD, CHAPEL HILL, NC 27517-4042
(919) 923-3814
Mailing address
104 MAXWELL RD, CHAPEL HILL, NC 27517-4042
(919) 923-3814
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12454514
CAQH
—
05
—
6115063
—
NC
Enumeration date
09/02/2012
Last updated
09/13/2013
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