Individual provider · Type 1 NPI

Ava Pommerenk

Mental Health Counselor · San Carlos, CA

NPI number 1821378225 Active

Practice location

200 Industrial Rd Ste 128
San Carlos, CA 94070-6296

Call (650) 591-3636 Map

Fax (650) 591-3600

Mailing address

610 Elm St Ste 212
San Carlos, CA 94070-3070

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X94-3094966 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1821378225

Ava Pommerenk's National Provider Identifier is 1821378225, issued on Aug 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Carlos, CA. The record was last updated on Aug 17, 2011.