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Individual

MISS ALEXIS YADIRA AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14545 SHERMAN CIR, VAN NUYS, CA 91405-3087
(818) 288-1817
(818) 376-0044
Mailing address
14545 SHERMAN CIR, VAN NUYS, CA 91405-3087
(818) 288-1817
(818) 376-0044

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
148612
CA
225400000X
Rehabilitation Practitioner
390200000X
Student in an Organized Health Care Education/Training Program
CA

Other

Enumeration date
08/17/2021
Last updated
08/07/2024
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