Individual
AYANA MICHELLE LASSITER-DUMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5065 DEER VALLEY RD STE 111, ANTIOCH, CA 94531-5203
(925) 434-8506
Mailing address
4880 RIDGEVIEW DR, ANTIOCH, CA 94531-7621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/21/2018
Last updated
06/20/2024
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