| Avery's Heroes | |
|
5871 Pine Ave Suite 230 Chino Hills CA 91709 | |
| (909) 597-2226 | |
| Not Available |
| Full Name | Avery's Heroes |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5871 Pine Ave, Chino Hills, California |
| Authorized Official Name and Position | Lyndee Venosta (MANAGER) |
| Authorized Official Contact | 7608054127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avery's Heroes 5871 Pine Ave Suite 230 Chino Hills CA 91709-6537 Ph: (909) 597-2226 | Avery's Heroes 5871 Pine Ave Suite 230 Chino Hills CA 91709 Ph: (909) 597-2226 |
| NPI Number | 1356725808 |
|---|---|
| Provider Enumeration Date | 07/15/2015 |
| Last Update Date | 01/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356725808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT96181 (California) | Secondary |
| 251S00000X | Community/behavioral Health | PSY24897 (* (Not Available)) | Primary |
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