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Maria Lourdes Avila
Peer Specialist in Fontana, California
NPI 1043855059

Maria Lourdes Avila is a Peer Specialist based in Fontana, CA. Maria Lourdes Avila practices in Fontana, CA. The NPI Number for Maria Lourdes Avila is 1043855059 and holds a License No. (California).

The current practice location address for Maria Lourdes Avila is 17053 Foothill Blvd, Fontana, CA and can be reached out via phone at 909-329-1636.

Location: 17053 Foothill Blvd, Fontana, CA, 92335-3574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043855059
Provider Name
Maria Lourdes Avila
Credential
Provider Entity Type
Individual
Gender
Female
Address
17053 Foothill Blvd, Fontana, CA, 92335-3574
Phone Number
909-329-1636
Fax Number
Provider Enumeration Date
11/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17053 Foothill Blvd
City
Fontana
State
California
Zip
92335-3574
Phone Number
909-329-1636
Fax Number
person
Provider Business Mailing Address Details
Address
17053 Foothill Blvd
City
Fontana
State
California
Zip
92335-3574
Phone Number
909-329-1636
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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