Individual provider · Type 1 NPI

Mark A. Avery

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1225277130 Active

Practice location

5870 Arlington Ave
Riverside, CA 92504-2037

Call (951) 683-6596 Map

Other practice locations

  • 17270 Roosevelt St, Riverside, CA 92508-9523 · (951) 683-6596

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA045800917 (CA)

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About NPI 1225277130

Mark A. Avery's National Provider Identifier is 1225277130, issued on Feb 17, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on Oct 31, 2018.