Individual provider · Type 1 NPI

Freddie Phillip Avila I

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1932646056 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2636

Mailing address

3576 Arlington Ave Ste 102
Riverside, CA 92506-3907

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1932646056

Freddie Phillip Avila I's National Provider Identifier is 1932646056, issued on Jan 26, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Aug 19, 2026.