Leticia Avila, QMHP

NPI #1386396786 in Bellwood, Illinois

Provider Information

NPI Number: 1386396786
Entity Type: Individual
Name: Leticia Avila, QMHP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: QMHP
Enumeration Date: Jan 26, 2022
Last Updated: Jan 26, 2022

Practice Location

Address: 2619 CONGRESS ST
City: Bellwood
State: Illinois
ZIP Code: 60104-2405
Phone: (708) 234-8668

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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