Avigail Ward | Victorville, CA • PECOS Search

Avigail Ward

Marriage & Family Therapist

Behavioral Health & Social Service Providers

14075 Hesperia Rd, Suite 105, Victorville, CA 92395-4500

PECOS Enrollment

Based on the most recent information from CMS, provider Avigail Ward does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1851663504
Provider Type
Individual
Full Name
Ward, Avigail
Title
Dr.
Credential
LMFT

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/26/2012
Last Updated
9/11/2013

Contact Information

Practice Location

14075 Hesperia Rd, Suite 105, Victorville, CA 92395-4500

(760) 596-1040

Mailing Location

7019 Svl Box, Victorville, CA 92395-5107

(760) 596-1040

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 51017 California