-- DAVID AVERILL -- LCPC
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1023234614- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LCPC
- Status
- Active
Contact & Location
- Address
- 4460 KINGS WAY STE 2, CHUBBUCK, ID, 832021900
- Phone
- (208) 237-1711
- Fax
- (208) 237-5192
Specialties & Taxonomies
Counselor, Mental Health
Primary License: ID #LCPC-3662
All Addresses
MAILING
4460 KINGS WAY STE 2
CHUBBUCK, ID, 832021900