Alexis Yadira Avila
Marriage & Family Therapist in Van Nuys, CA. Individual provider (NPI-1).
NPI number1407522824
StatusActive
Last updated in NPPESAug 7, 2024
Details
- NPI
- 1407522824
- Entity type
- Individual (NPI-1)
- Name
- Miss Alexis Yadira Avila
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2021
- Certification date
- Aug 7, 2024
- Last updated
- Aug 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 148612 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
14545 Sherman CirVan Nuys, CA 91405-3087
Phone 818-288-1817 · Fax 818-376-0044
Mailing address
14545 Sherman CirVan Nuys, CA 91405-3087
Phone 818-288-1817 · Fax 818-376-0044
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