Tavares Avery
Counselor, Mental Health in Cherry Hill, NJ. Individual provider (NPI-1).
NPI number1073489134
StatusActive
Last updated in NPPESApr 17, 2026
Details
- NPI
- 1073489134
- Entity type
- Individual (NPI-1)
- Name
- Tavares Avery
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2025
- Certification date
- Apr 17, 2026
- Last updated
- Apr 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | NJ | Yes |
Practice location
1409 Kings Hwy NCherry Hill, NJ 08034-2306
Phone 609-267-5928
Mailing address
7 Sequoia CtMarlton, NJ 08053-3766
Phone 609-267-5928
Other practice locations
770 Woodlane Rd
Westampton, NJ 08060-3804
Westampton, NJ 08060-3804
Phone 609-845-3738
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