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1013894203 NPI number — TAMICA AVALOS LPCC

NPI Number: 1013894203
Health Care Provider/Practitioner: TAMICA AVALOS LPCC

Information about “1013894203” NPI (TAMICA AVALOS LPCC) exists in 1013894203 in HTML format HTML  |  1013894203 in plain Text format TXT  |  1013894203 in PDF (Portable Document Format) PDF  |  1013894203 in an XML format XML  formats.

NPI Number : 1013894203 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013894203",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "AVALOS",
    "FirstName": "TAMICA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "12220 HIGHWAY 61",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STERLING",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80751-8902",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-964-2763",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12220 HIGHWAY 61",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STERLING",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80751-8902",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-964-2763",
    "PracticeLocationAddressFaxNumber": "833-423-7002",
    "EnumerationDate": "08/19/2025",
    "LastUpdateDate": "09/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LPCC.0022886",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "ACD.0002801",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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