Individual
MR. ALAN AVILA-JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LICDC, CRC
Contact information
Practice address
660 S MAIN ST, DAYTON, OH 45402-2708
(937) 461-4800
Mailing address
8369 WOODGROVE CT, DAYTON, OH 45458-1824
(937) 321-5220
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161793
OH
101YM0800X
Mental Health Counselor
Primary
C1700256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LPC
—
OH
Enumeration date
06/10/2019
Last updated
06/10/2019
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