Avery, Darla Jean
Avery, Darla Jean is an sole proprietor health care provider with primary practice located at 2706 N Century Ave , Odessa TX 79762-7937. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Avery, Darla Jean can be contacted via phone (432) 770-1205.Contact Information
Primary practice address
2706 N Century Ave
Odessa TX 79762-7937
Phone: (432) 770-1205
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 17163 | Texas |
Profile Details
| NPI number | 1578749560 |
|---|---|
| LBN Legal business name | Avery, Darla Jean |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 21st, 2008 |
| Last updated | Jan 5th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578749560 | NPPES |
| Texas | MEDICAID | 1496879-01 |
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