Individual
CASEY AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 E CHAPMAN AVE, FULLERTON, CA 92831-3737
(949) 293-6249
Mailing address
6877 CHARLOMA ST, RANCHO CUCAMONGA, CA 91701-4801
(951) 529-9107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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