Individual provider · Type 1 NPI

Heather Nicole Avila

Mental Health Counselor · South Lake Tahoe, CA

NPI number 1902052467 Active

Practice location

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136

Call (530) 541-2445 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902052467

Heather Nicole Avila's National Provider Identifier is 1902052467, issued on Aug 14, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Aug 14, 2008.