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NPI Code Detail

MEDICARE: MARIA AVERZA LCMHC

MEDICARE: MARIA AVERZA LCMHC
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
1101YM0800XMental Health Counselor9004NC

General Provider Information

NPI Number : 1790059616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA AVERZA LCMHC
Provider Business Mailing Address
First Line : PO BOX 146
Second Line :
City : BALSAM
State : NC
Zip : 28707-0146
Country : US
Telephone Number : 828-283-0113
Fax Number :
Provider Business Practice Location Address
First Line : 626 N MAIN ST
Second Line :
City : WAYNESVILLE
State : NC
Zip : 28786-3820
Country : US
Telephone Number : 828-283-0113
Fax Number : 828-246-0254
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2012
Last Update Date : 01/06/2024

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Directions to “ MARIA AVERZA LCMHC” Practice Location

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