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Mr. Lamont Avery
Mental Health Counselor in San Bernardino, California
NPI 1194154997

Lamont Avery is a Mental Health Counselor based in Perris, CA and is specialized in Mental Health. Lamont Avery practices in San Bernardino, CA. The NPI Number for Lamont Avery is 1194154997 and holds a License No. (California).

The current practice location address for Lamont Avery is 2080 S E St, San Bernardino, CA and can be reached out via phone at 909-388-9191.

Location: 2080 S E St, San Bernardino, CA, 92570-8702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194154997
Provider Name
Lamont Avery
Credential
Provider Entity Type
Individual
Gender
Male
Address
2080 S E St, San Bernardino, CA, 92570-8702
Phone Number
909-388-9191
Fax Number
Provider Enumeration Date
11/02/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124100383 05 CA
institution
Provider Business Practice Location Address Details
Address
2080 S E St
City
San Bernardino
State
California
Zip
92408-2773
Phone Number
909-388-9191
Fax Number
person
Provider Business Mailing Address Details
Address
2080 S E St
City
San Bernardino
State
California
Zip
92408-2773
Phone Number
909-388-9191
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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