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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578749560 NPPES
Texas MEDICAID 1496879-01

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