Individual
AGUSTIN ULISES AVANTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
820 E GILBERT ST, SAN BERNARDINO, CA 92415
(909) 387-7200
Mailing address
820 E GILBERT ST, SAN BERNARDINO, CA 92415-0928
(909) 387-7200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
08/20/2014
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