Avalon, Chad

Avalon, Chad is an sole proprietor health care provider with primary practice located at 2560 Pulgas Ave , East Palo Alto CA 94303-1323. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Avalon, Chad can be contacted via phone (650) 437-0492.

Contact Information

Primary practice address
2560 Pulgas Ave East Palo Alto CA 94303-1323
Phone: (650) 437-0492
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1780134890
LBN Legal business name Avalon, Chad
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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