Individual
YENNIFER AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61130107
WA
106S00000X
Behavior Technician
CB61431029
WA
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
06/08/2023
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