person
Mrs. Jacquelyn Lynn Avila, SUDRC
Addiction (Substance Use Disorder) Counselor in Palm Springs, California
NPI 1073210837

Jacquelyn Lynn Avila is an Addiction (Substance Use Disorder) Counselor based in Palm Springs, CA and is specialized in Addiction (Substance Use Disorder). Jacquelyn Lynn Avila practices in Palm Springs, CA and has the professional credentials of SUDRC. The NPI Number for Jacquelyn Lynn Avila is 1073210837 and holds a License No. 14458 (California).

The current practice location address for Jacquelyn Lynn Avila is 1330 N Indian Canyon Dr Ste A, Palm Springs, CA and can be reached out via phone at 760-322-9065 and via fax at 760-322-8916.

Location: 1330 N Indian Canyon Dr Ste A, Palm Springs, CA, 92262-4880
person
Provider Profile Details
NPI Number
1073210837
Provider Name
Jacquelyn Lynn Avila
Credential
SUDRC
Provider Entity Type
Individual
Gender
Female
Address
1330 N Indian Canyon Dr Ste A, Palm Springs, CA, 92262-4880
Phone Number
760-322-9065
Fax Number
760-322-8916
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1330 N Indian Canyon Dr Ste A
City
State
Zip
92262-4880
Phone Number
760-322-9065
Fax Number
760-322-8916
person
Provider Business Mailing Address Details
Address
1330 N Indian Canyon Dr Ste A
City
State
Zip
92262-4880
Phone Number
760-322-9065
Fax Number
760-322-8916
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14458 (California)
Definition
Definition to come...
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