Individual
CELESTE MARIAH ALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4335 ATLANTIC AVE, LONG BEACH, CA 90807-2803
(562) 216-4900
Mailing address
24837 SEAGROVE AVE, WILMINGTON, CA 90744-1132
(310) 918-5302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/26/2017
Last updated
12/08/2017
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