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Lawanda Crystal Avila
Mental Health Counselor in San Jose, California
NPI 1295385714

Lawanda Crystal Avila is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Lawanda Crystal Avila practices in San Jose, CA. The NPI Number for Lawanda Crystal Avila is 1295385714 and holds a License No. (California).

The current practice location address for Lawanda Crystal Avila is 2221 Enborg Ln, San Jose, CA and can be reached out via phone at 408-885-6152.

Location: 2221 Enborg Ln, San Jose, CA, 95128-2608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295385714
Provider Name
Lawanda Crystal Avila
Credential
Provider Entity Type
Individual
Gender
Female
Address
2221 Enborg Ln, San Jose, CA, 95128-2608
Phone Number
408-885-6152
Fax Number
Provider Enumeration Date
09/17/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2221 Enborg Ln
City
San Jose
State
California
Zip
95128-2608
Phone Number
408-885-6152
Fax Number
person
Provider Business Mailing Address Details
Address
2221 Enborg Ln
City
San Jose
State
California
Zip
95128-2608
Phone Number
408-885-6152
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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