LYDIA AMANDA AVALOS

NORTH HOLLYWOOD, CA
NPI1922589357
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-08-23
Last Update Date2018-08-23
Business Address
LYDIA AMANDA AVALOS
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323
Mailing Address
LYDIA AMANDA AVALOS
11027 BURBANK BLVD
NORTH HOLLYWOOD, CA 91601-2431
Phone number: 818-985-8323