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Contact Information

JAYVONNA AVERY
655 S 23RD ST TRLR 69
BEAUMONT, TX77707-3836
 Phone: 409-658-2139
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Pastoral

101YP1600X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for JAYVONNA AVERY · (Female)

NPI Number 1124778188
Status Active
Credentials
Entity Individual
Enumeration date 03/24/2022
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 16719
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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