Individual provider · Type 1 NPI

Therese Marcella Avila

Mental Health Counselor · Costa Mesa, CA

NPI number 1629263967 Active

About NPI 1629263967

Therese Marcella Avila's National Provider Identifier is 1629263967, issued on Sep 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Sep 10, 2007.