FREDDIE PHILLIP AVILA

BLOOMINGTON, CA
NPI1932646056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-01-26
Last Update Date2020-02-20
Business Address
FREDDIE PHILLIP AVILA
18612 SANTA ANA AVE
BLOOMINGTON, CA 92316-2636
Phone number: 909-421-7120
Mailing Address
FREDDIE PHILLIP AVILA
3576 ARLINGTON AVE STE 102
RIVERSIDE, CA 92506-3907
Phone number: 951-782-9577
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