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NPI Code Detail

MEDICARE: AVANTE COUNSELING, LLC

MEDICARE: AVANTE COUNSELING, LLC
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
1101YP2500XProfessional CounselorLPC-13420AZ

General Provider Information

NPI Number : 1538616966
Entity Type Code : Organization
Provider Name (Legal Business Name) : AVANTE COUNSELING, LLC
Provider Business Mailing Address
First Line : 19619 N 6TH PL
Second Line :
City : PHOENIX
State : AZ
Zip : 85024-1618
Country : US
Telephone Number : 602-903-9005
Fax Number :
Provider Business Practice Location Address
First Line : 6232 N 7TH ST
Second Line : SUITE 204
City : PHOENIX
State : AZ
Zip : 85014-1839
Country : US
Telephone Number : 602-903-9005
Fax Number : 602-265-1482
Authorized Official
Title or Position : OWNER
Name : DR. NOE VARGAS
Credential : DBH, LPC
Telephone Number : 602-903-9005
Provider Enumeration Date : 09/01/2016
Last Update Date : 09/05/2016

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Directions to “AVANTE COUNSELING, LLC ” Practice Location

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