person
Mr. Jose Luis Avila, LPC,
Mental Health Counselor in Annandale, Virginia
NPI 1194789545

Jose Luis Avila is a Mental Health Counselor based in Annandale, VA and is specialized in Mental Health. Jose Luis Avila practices in Annandale, VA and has the professional credentials of LPC,. The NPI Number for Jose Luis Avila is 1194789545 and holds a License No. 0701002091 (Virginia).

The current practice location address for Jose Luis Avila is 4946 Schuyler Dr, Annandale, VA and can be reached out via phone at 571-282-3903 and via fax at 571-282-3903. You can also correspond with Jose Luis Avila through the mailing address at 4946 SCHUYLER DR, ANNANDALE, VA - 22003-5144 (mailing address contact number: 571-282-3903).

Location: 4946 Schuyler Dr, Annandale, VA, 22003-5144
person
Provider Profile Details
NPI Number
1194789545
Provider Name
Jose Luis Avila
Credential
LPC,
Provider Entity Type
Individual
Gender
Male
Address
4946 Schuyler Dr, Annandale, VA, 22003-5144
Phone Number
571-282-3903
Fax Number
571-282-3903
Provider Enumeration Date
04/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83518 01 VA VALUE OPTIONS
31390 01 VA AETNA
7278061 01 VA AETNA
541598045 01 VA APS
1194789545 05 VA
institution
Provider Business Practice Location Address Details
Address
4946 Schuyler Dr
City
State
Zip
22003-5144
Phone Number
571-282-3903
Fax Number
571-282-3903
person
Provider Business Mailing Address Details
Address
4946 Schuyler Dr
City
State
Zip
22003-5144
Phone Number
571-282-3903
Fax Number
571-282-3903
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
0701002091 (Virginia)
Definition
Definition to come...
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