person
David Averill, LCPC
Mental Health Counselor in Chubbuck, Idaho
NPI 1023234614

David Averill is a Mental Health Counselor based in Chubbuck, ID and is specialized in Mental Health. David Averill practices in Chubbuck, ID and has the professional credentials of LCPC. The NPI Number for David Averill is 1023234614 and holds a License No. LCPC-3662 (Idaho).

The current practice location address for David Averill is 4460 Kings Way Ste 2, Chubbuck, ID and can be reached out via phone at 208-237-1711 and via fax at 208-237-5192. You can also correspond with David Averill through the mailing address at 4460 KINGS WAY STE 2, CHUBBUCK, ID - 83202-1900 (mailing address contact number: ).

Location: 4460 Kings Way Ste 2, Chubbuck, ID, 83202-1900
person
Provider Profile Details
NPI Number
1023234614
Provider Name
David Averill
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
4460 Kings Way Ste 2, Chubbuck, ID, 83202-1900
Phone Number
208-237-1711
Fax Number
208-237-5192
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4460 Kings Way Ste 2
City
State
Zip
83202-1900
Phone Number
208-237-1711
Fax Number
208-237-5192
person
Provider Business Mailing Address Details
Address
4460 Kings Way Ste 2
City
State
Zip
83202-1900
Phone Number
208-237-1711
Fax Number
208-237-5192
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCPC-3662 (Idaho)
Definition
Definition to come...
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