Wendi Jessica Avila, MSW, ASW
Counselor, Mental Health in Los Angeles, CA. Individual provider (NPI-1).
NPI number1982188900
StatusActive
Last updated in NPPESJul 21, 2019
Details
- NPI
- 1982188900
- Entity type
- Individual (NPI-1)
- Name
- Wendi Jessica Avila
- Credential
- MSW, ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2018
- Last updated
- Jul 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 892333 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA |
Practice location
12099 W Washington BlvdLos Angeles, CA 90066-5882
Phone 310-751-1012
Mailing address
12099 W Washington BlvdLos Angeles, CA 90066-5882
Phone 310-751-1012
Other practice locations
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Los Angeles, CA 90007-3033
Phone 323-373-2400
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Los Angeles, CA 90007-3033
Phone 323-373-2400
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