DAVID AVERILL

CHUBBUCK, ID
NPI1023234614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  LCPC-3662)
Enumeration Date2007-04-18
Last Update Date2007-07-09
Business Address
-- DAVID AVERILL LCPC
4460 KINGS WAY STE 2
CHUBBUCK, ID 83202-1900
Phone number: 208-237-1711
Mailing Address
-- DAVID AVERILL LCPC
4460 KINGS WAY STE 2
CHUBBUCK, ID 83202-1900
Phone number:
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