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Individual

MISS ALYSSA ANNE CONNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11776 MARIPOSA RD STE 103, HESPERIA, CA 92345-1622
(760) 956-2462
Mailing address
6716 N CHASON WAY, SAN BERNARDINO, CA 92407-2096
(909) 262-7945

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/03/2013
Last updated
09/03/2013
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