Individual provider · Type 1 NPI
Ruben Juan Avila
Mental Health Counselor · Stockton, CA
NPI number
1104258243
Active
Practice location
1212 N California St
Stockton, CA 95202-1552
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104258243
Ruben Juan Avila's National Provider Identifier is 1104258243, issued on Jul 31, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockton, CA. The record was last updated on Jul 31, 2013.