EUGENE AVILLA

Peer Specialist

Active Individual
NPI: 1073396560

Practice Address

1414 N CALIFORNIA ST
Stockton, CA 95202

Phone: (209) 468-2385

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Community Health Worker 172V00000X No -
Peer Specialist 175T00000X Yes MPSS-VPRIOQ (CA)

Frequently Asked Questions

NPI 1073396560 is the National Provider Identifier for EUGENE AVILLA, a Peer Specialist provider located in Stockton, CA. This NPI was enumerated on August 17, 2023.
EUGENE AVILLA practices at 1414 N CALIFORNIA ST, Stockton, CA 95202.

Quick Facts

NPI
1073396560
Type
Individual
Enumerated
Aug 17, 2023
Last Updated
May 30, 2025

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