Individual
TASHA MACQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
35948 SUSAN ST, YUCAIPA, CA 92399-6300
(909) 790-8580
Mailing address
35948 SUSAN ST, YUCAIPA, CA 92399-6300
(909) 790-8580
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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