Individual
ANDREA CHRISTINE AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC-T
Contact information
Practice address
1122 S GREENFIELD RD, MESA, AZ 85206-2633
(928) 487-0835
Mailing address
7728 E FARMDALE AVE, MESA, AZ 85208-5625
(928) 487-0835
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-7815T
AZ
101YM0800X
Mental Health Counselor
Primary
LPC-24566
AZ
Other
Enumeration date
04/11/2023
Last updated
02/23/2026
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