Provider Demographics
NPI:1205315686
Name:AVRIL, NAOMI R (MA, LLPC, NCC)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:R
Last Name:AVRIL
Suffix:
Gender:F
Credentials:MA, LLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3831 HELEN AVE
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-3759
Mailing Address - Country:US
Mailing Address - Phone:734-883-6684
Mailing Address - Fax:
Practice Address - Street 1:2385 S HURON PKWY STE 1S
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-5171
Practice Address - Country:US
Practice Address - Phone:734-956-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-07
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401016085101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional