David Averill, LCPC Valid NPI

Individual provider · Mental Health Counselor · Chubbuck, ID

NPI

1023234614

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

LCPC-3662 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-04-18

Last updated

2007-07-09