Individual
ALISSA CHARI AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAPTPSUDRC15889
Contact information
Practice address
335 6TH ST, HOLLISTER, CA 95023-3834
(831) 265-7317
(831) 265-7462
Mailing address
335 6TH ST, HOLLISTER, CA 95023-3834
(831) 265-7317
(831) 265-7462
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15889
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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