Most Relevant Information
Provider Data
| NPI Number: | 1003480369 |
| Provider Name: | AVERY ALEECE STANTON |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/19/2021 |
| Last Updated: | 07/06/2023 |
Provider Practice Location
7610 40TH ST W
UNIVERSITY PLACE
WA
984663834
Practice Location Phone/Fax
| Phone: | 2538306242 |
| Fax: | 5343331062 |
Provider Mailing Location
7610 40TH ST W
UNIVERSITY PLACE
WA
984663834
Provider Mailing Phone/Fax
| Phone: | 5383062422 |
| Fax: | 2534333106 |