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Yenny L Avila

Counselor, Professional in Waukegan, IL. Individual provider (NPI-1).

NPI number1851815476
StatusActive
Last updated in NPPESJul 26, 2017

Details

NPI
1851815476
Entity type
Individual (NPI-1)
Name
Yenny L Avila
Sex
Female
Sole proprietor
No
Enumeration date
Jul 26, 2017
Last updated
Jul 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178.013116ILYes

Practice location

329 N Genesee St
Waukegan, IL 60085-4205

Phone 847-623-1730

Mailing address

705 Grand Ave Apt 206
Waukegan, IL 60085-4173

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