JERONIMO BOLIVAR AVILES

BEDFORD, TX
NPI1942471412
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  59034)
Enumeration Date2008-03-12
Last Update Date2008-03-12
Business Address
Mr. JERONIMO BOLIVAR AVILES LPC
3800 VICTORIA CT
BEDFORD, TX 76021-6159
Phone number: 817-881-5883
Mailing Address
Mr. JERONIMO BOLIVAR AVILES LPC
4755 NORTH FWY
FORT WORTH, TX 76106-2315
Phone number: 817-881-5883
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