Organization
AVON CHRISTIAN COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABRAHAM ATHIALY (PRESIDENT)
(317) 272-6999
Entity
Organization
Contact information
Practice address
79 N COUNTY ROAD 625 E, AVON, IN 46123-9724
(317) 272-6999
Mailing address
79 N COUNTY ROAD 625 E, AVON, IN 46123-9724
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000774A
IN
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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