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Heather Nicole Avila
Mental Health Counselor in South Lake Tahoe, California
NPI 1902052467

Heather Nicole Avila is a Mental Health Counselor based in South Lake Tahoe, CA and is specialized in Mental Health. Heather Nicole Avila practices in South Lake Tahoe, CA. The NPI Number for Heather Nicole Avila is 1902052467 and holds a License No. (California).

The current practice location address for Heather Nicole Avila is 1021 Fremont Ave, South Lake Tahoe, CA and can be reached out via phone at 530-541-2445.

Location: 1021 Fremont Ave, South Lake Tahoe, CA, 96150-8136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902052467
Provider Name
Heather Nicole Avila
Credential
Provider Entity Type
Individual
Gender
Female
Address
1021 Fremont Ave, South Lake Tahoe, CA, 96150-8136
Phone Number
530-541-2445
Fax Number
Provider Enumeration Date
08/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1021 Fremont Ave
City
South Lake Tahoe
State
California
Zip
96150-8136
Phone Number
530-541-2445
Fax Number
person
Provider Business Mailing Address Details
Address
1021 Fremont Ave
City
South Lake Tahoe
State
California
Zip
96150-8136
Phone Number
530-541-2445
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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