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Individual

MARTHA ANGELICA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2550 E FOOTHILL BLVD, PASADENA, CA 91107-3406
(626) 744-5230
(626) 744-5230
Mailing address
PO BOX 2451, PASADENA, CA 91102-2451
(626) 893-0191
(626) 893-0191

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
225400000X
Rehabilitation Practitioner
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
02/21/2007
Last updated
09/28/2011
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