Individual
MRS. ANICIA R. MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PENDING
Contact information
Practice address
7993 SIERRA AVE, SUITE K, FONTANA, CA 92336-3330
(909) 822-8720
Mailing address
1877 MAGNOLIA AVE, SAN BERNARDINO, CA 92411-1652
(909) 891-1950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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