Individual
MR. JAMES BRIAN AVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC LEVEL 2
Contact information
Practice address
721 MADISON AVE, ALBANY, NY 12208-3301
(518) 729-2126
(518) 729-2127
Mailing address
15 DIVISION ST FL 1, COHOES, NY 12047-1901
(305) 904-2114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34445
NY
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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