Individual provider · Type 1 NPI

Casey Avery

Mental Health Counselor · Fullerton, CA

NPI number 1689335473 Active

Practice location

2601 E Chapman Ave
Fullerton, CA 92831-3737

Mailing address

6877 Charloma St
Rancho Cucamonga, CA 91701-4801

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689335473

Casey Avery's National Provider Identifier is 1689335473, issued on Jan 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fullerton, CA. The record was last updated on Jan 4, 2022.