Individual
BRENDA IRENE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 955-7263
Mailing address
12017 ODESSA DR, MORENO VALLEY, CA 92557-7839
(951) 237-4948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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