Search › Idaho › 101YM0800X
David Averill, LCPC
NPI 1023234614 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4460 Kings Way Ste 2
Chubbuck, ID 83202 - Phone
- (208) 237-1711
- Fax
- (208) 237-5192
- Organisation at this address
- Center Counseling Psr
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho