Individual
ASHLEY ALICIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4409
(909) 421-9411
Mailing address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 873-4409
(909) 421-9411
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW85599
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2013
Last updated
12/03/2021
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