Dianne Maria Avelar, MFT

Individual provider Active NPI Marriage & Family Therapist · Aptos, CA

NPI 1164511630 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164511630
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC36967 (CA)
Practice address
10096 Soquel Dr
Suite 3
Aptos, CA 95003-4938
Phone
(831) 662-3317
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC36967CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC36967 CA Yes

Addresses

Primary practice location

10096 Soquel Dr
Suite 3
Aptos, CA 95003-4938

Mailing address

PO Box 2071
Watsonville, CA 95077-2071
Phone (831) 673-1220

Other providers in Aptos, CA

All providers in Aptos, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.