Individual
MR. EFRAIN AVILA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
EDD, LPC, LCPC
Contact information
Practice address
94 BRIGGS ST STE 700, SAN ANTONIO, TX 78224-1272
(210) 924-3556
(210) 924-3557
Mailing address
P.O. BOX 2203, DUBLIN, CA 94568
(815) 985-8924
(210) 924-3557
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64717
TX
101YM0800X
Mental Health Counselor
64717
TX
101YP2500X
Professional Counselor
180-004466
IL
101YP2500X
Professional Counselor
180004466
IL
101YP2500X
Professional Counselor
64717
TX
Other
Enumeration date
06/11/2008
Last updated
09/30/2015
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