Provider Demographics
NPI:1265259832
Name:POST, AVERY
Entity type:Individual
Prefix:
First Name:AVERY
Middle Name:
Last Name:POST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23573 BRIXTON PL
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9498
Mailing Address - Country:US
Mailing Address - Phone:415-320-3115
Mailing Address - Fax:
Practice Address - Street 1:23573 BRIXTON PL
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9498
Practice Address - Country:US
Practice Address - Phone:415-320-3115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health