Individual
CHAD AVALON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2560 PULGAS AVE, EAST PALO ALTO, CA 94303-1323
(650) 437-0492
Mailing address
324 CHESTNUT ST, SANTA CRUZ, CA 95060-4918
(503) 801-1095
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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