David Averill, LCPC

NPI #1023234614 in Chubbuck, Idaho

Provider Information

NPI Number
1023234614
Entity Type
Individual
Name
David Averill, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
LCPC
Enumeration Date
Apr 18, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
4460 KINGS WAY STE 2
State
Idaho
ZIP Code
83202-1900
Phone
(208) 237-1711

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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