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Contact Information

NICOLE AVILA, M.A. ED
290 IOOF AVE
GILROY, CA95020-5204
 Phone: 408-846-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for NICOLE AVILA · (Female)

NPI Number 1295191807
Status Active
Credentials M.A. ED
Entity Individual
Enumeration date 01/12/2016
Last updated 05/01/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 6329
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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