Individual
MARIELA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSWA, LCASA
Contact information
Practice address
7876 US HWY 117 S # A, ROCKY POINT, NC 28457-8408
(910) 259-0668
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(775) 443-6375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30365
NC
1041C0700X
Clinical Social Worker
Primary
P022595
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
04/07/2026
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