Individual
MRS. AVA REE RIEDESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3609 OCEAN RANCH BLVD STE 110, OCEANSIDE, CA 92056
(760) 967-4475
Mailing address
1701 MISSION AVE, SUITE A, OCEANSIDE, CA 92058-7102
(760) 967-4475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW69125
CA
1041C0700X
Clinical Social Worker
Primary
83418
CA
Other
Enumeration date
11/05/2013
Last updated
06/21/2018
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