Individual provider · Type 1 NPI

Dezarae Avalos

Mental Health Counselor · Madison, WI

NPI number 1609324011 Active

Practice location

25 Kessel Ct
Madison, WI 53711-6227

Mailing address

2451 Ironwood Dr Apt 240
Sun Prairie, WI 53590-8701

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1609324011

Dezarae Avalos's National Provider Identifier is 1609324011, issued on Sep 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Sep 14, 2016.