Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avery Corrine Cordova

Individual provider Licensed Psychiatric Technician · NPI 1285347948

Avery Corrine Cordova is a Licensed Psychiatric Technician in Arroyo Grande, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

1350 E Grand Ave
Arroyo Grande, CA 93420-2422
Phone: (805) 474-2176
Fax: (805) 473-7060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Psychiatric Technician (primary) Taxonomy 167G00000X · Licence 37349 (CA)

Record details

NPI number1285347948
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 27, 2022
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address354 S Halcyon Rd Ste C, Arroyo Grande, CA 93420-3879

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