Avila, Heather Nicole

Avila, Heather Nicole is an individual health care provider with primary practice located at 1021 Fremont Ave , South Lake Tahoe CA 96150-8136. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Avila, Heather Nicole can be contacted via phone (530) 541-2445.

Contact Information

Primary practice address
1021 Fremont Ave South Lake Tahoe CA 96150-8136
Phone: (530) 541-2445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1902052467
LBN Legal business name Avila, Heather Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2008
Last updated Aug 14th, 2008 - about 17 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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