Individual
AILYN PRECIOUS AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12141 BROOKHURST ST, GARDEN GROVE, CA 92840-2865
(714) 296-1934
Mailing address
12141 BROOKHURST ST, GARDEN GROVE, CA 92840-2865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
09/29/2020
Last updated
10/30/2020
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