Garcia, Avis L

Garcia, Avis L is an individual health care provider with primary practice located at 2526 Seymour Ave , Cheyenne WY 82001-3159. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Garcia, Avis L can be contacted via phone (307) 634-9653.

Contact Information

Primary practice address
2526 Seymour Ave Cheyenne WY 82001-3159
Phone: (307) 634-9653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-1448 Wyoming
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LAT-332 Wyoming
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-796 Wyoming
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC-796 Wyoming

Profile Details

NPI number 1619218708
LBN Legal business name Garcia, Avis L
Credentials LPC, LAT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Jul 21st, 2022 - about 4 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 1619218708 NPPES
Wyoming Other LAT-332 STATE LICENSE
Wyoming Other LPC-796 STATE LICENSE

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