Individual
ANGELIQUE DANIELLE LAPRISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDRC #12534
Contact information
Practice address
484 PLEASANT VALLEY RD., # 4, DIAMOND SPRINGS, CA 95619
(530) 344-7633
(530) 497-5202
Mailing address
484 PLEASANT VALLEY RD., # 4, DIAMOND SPRINGS, CA 95619
(530) 344-7633
(530) 497-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12534
CA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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