person
Ms. Brooke Ann Avila
Mental Health Counselor in Ketchikan, Alaska
NPI 1164026977

Brooke Ann Avila is a Mental Health Counselor based in Ketchikan, AK and is specialized in Mental Health. Brooke Ann Avila practices in Ketchikan, AK. The NPI Number for Brooke Ann Avila is 1164026977 and holds a License No. (Alaska).

The current practice location address for Brooke Ann Avila is 2524 First Ave, Ketchikan, AK and can be reached out via phone at 907-617-6145 and via fax at 907-885-6613. You can also correspond with Brooke Ann Avila through the mailing address at PO BOX 7475, KETCHIKAN, AK - 99901-2475 (mailing address contact number: 907-617-6145).

Location: 2524 First Ave, Ketchikan, AK, 99901-2475
person
Provider Profile Details
NPI Number
1164026977
Provider Name
Brooke Ann Avila
Credential
Provider Entity Type
Individual
Gender
Female
Address
2524 First Ave, Ketchikan, AK, 99901-2475
Phone Number
907-617-6145
Fax Number
907-885-6613
Provider Enumeration Date
11/23/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1584706 05 AK
1021118 05 AK
institution
Provider Business Practice Location Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-617-6145
Fax Number
907-885-6613
person
Provider Business Mailing Address Details
Address
2524 First Ave
City
State
Zip
99901-5804
Phone Number
907-617-6145
Fax Number
907-885-6613
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Alaska)
Definition
Definition to come...
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