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1629263967
THERESE MARCELLA AVILA
COSTA MESA, CA
NPI
1629263967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Miss THERESE MARCELLA AVILA
2183 FAIRVIEW RD STE 100
COSTA MESA, CA 92627-5663
Phone number: 949-515-5440
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Mailing Address
Miss THERESE MARCELLA AVILA
2183 FAIRVIEW RD STE 100
COSTA MESA, CA 92627-5663
Phone number: 949-515-5440
Copy
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