MR. Jose Luis Avila, L.P.C.,.

NPI #1194789545 in Annandale, Virginia

Provider Information

NPI Number: 1194789545
Entity Type: Individual
Name: MR. Jose Luis Avila, L.P.C.,.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: L.P.C.,.
Enumeration Date: Apr 13, 2006
Last Updated: May 19, 2011

Practice Location

Address: 4946 SCHUYLER DR
City: Annandale
State: Virginia
ZIP Code: 22003-5144
Phone: (571) 282-3903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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