Individual
DANIELLE SHERIE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
5400 KEARNY MESA RD, SAN DIEGO, CA 92111-1303
(619) 717-2363
(714) 327-0673
Mailing address
3186 AIRWAY AVE STE A, COSTA MESA, CA 92626-4650
(714) 881-0427
(714) 327-0673
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
CA
Other
Enumeration date
02/15/2021
Last updated
11/13/2024
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