Avery, Jayvonna

Avery, Jayvonna is an sole proprietor health care provider with primary practice located at 655 S 23Rd St Trlr 69 , Beaumont TX 77707-3836. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Avery, Jayvonna can be contacted via phone (409) 658-2139.

Contact Information

Primary practice address
655 S 23Rd St Trlr 69 Beaumont TX 77707-3836
Phone: (409) 658-2139
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 16719 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 16719 Texas
Behavioral Health & Social Service Providers / Counselor 101Y00000X 16719 Texas

Profile Details

NPI number 1124778188
LBN Legal business name Avery, Jayvonna
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2022
Last updated Mar 25th, 2022 - about 3 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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