Individual provider · Type 1 NPI

Joann Ezra Gavalda, LPC, CAC

Professional Counselor · Anderson, SC

NPI number 1013257708 Active

Practice location

226 Mcgee Rd
Anderson, SC 29625-2104

Call (864) 260-4169 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Professional Counselor Primary 101YP2500X6481 (SC)

Professional Counselor: Definition to come...

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About NPI 1013257708

Joann Ezra Gavalda, LPC, CAC's National Provider Identifier is 1013257708, issued on Feb 18, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Anderson, SC. The record was last updated on Jan 23, 2018.