Individual
ANISE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1907 BOYS REPUBLIC DR, CHINO HILLS, CA 91709-5447
(909) 628-1217
Mailing address
1907 BOYS REPUBLIC DR, CHINO HILLS, CA 91709-5447
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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