| Doctor Name: | JOHN D. AVELLA |
| NPI Number: | 1063846582 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC NCC NJSP DRCC |
| License Number: | 37PC00152000 |
| Business Practice Address: | 41 Reckless Pl 2nd Floor Red Bank, NJ - 077011703 |
| Business Phone Number: | 7325307191 |
| Business Fax Number: | 7325304145 |
| Mailing Address: | 41 Reckless Pl, 2nd Floor RED BANK |
| State: | NJ |
| Postal Code: | 077011703 |
| Phone Number: | 7325307191 |
| Fax Number: | 7325304145 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 09/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00152000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |