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Individual

DEVIN A LOCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BMET, CE, CNT, CBPTP

Contact information

Practice address
916 N, MOUNTAIN AVE. SUITE D-1, UPLAND, CA 91786
(909) 608-2880
Mailing address
8306 WILSHIRE BLVD. SUITE 777, BEVERLY HILLS, CA 90211
(424) 204-2382

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
90683
CA
246ZE0500X
EEG Specialist/Technologist
Primary

Other

Enumeration date
11/27/2018
Last updated
12/06/2018
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