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NPI Code Detail

MEDICARE: AVAIL FAMILY COUNSELING AND PSYCHOTHERAPY, INC

MEDICARE: AVAIL FAMILY COUNSELING AND PSYCHOTHERAPY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1437935962
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVAIL FAMILY COUNSELING AND PSYCHOTHERAPY, INC
Provider Business Mailing Address
First Line : 3 POINTE DR STE 305
Second Line :
City : BREA
State : CA
Zip : 92821-7604
Country : US
Telephone Number : 562-551-8245
Fax Number :
Provider Business Practice Location Address
First Line : 3 POINTE DR STE 305
Second Line :
City : BREA
State : CA
Zip : 92821-7604
Country : US
Telephone Number : 562-551-8245
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOHN VAIL
Credential :
Telephone Number : 562-551-8245
Provider Enumeration Date : 08/31/2023
Last Update Date : 08/31/2023

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Directions to “AVAIL FAMILY COUNSELING AND PSYCHOTHERAPY, INC ” Practice Location

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