Individual provider · NPI-1
Rachel Avery, AMFT
Marriage & Family Therapist · Santa Maria, CA
NPI number1114786811
StatusActive
Last updated in NPPESMar 15, 2024
Details
- NPI
- 1114786811
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rachel Avery
- Credential
- AMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2024
- Certification date
- Mar 15, 2024
- Last updated
- Mar 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 145540 | CA | Yes |
Practice location
105 N Lincoln StSanta Maria, CA 93458-4319
Phone 805-928-1707 · Fax 805-922-4797
Mailing address
105 N Lincoln StSanta Maria, CA 93458-4319
Phone 805-928-1707 · Fax 805-922-4797
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