Individual
ADAM JOSEPH LAVALLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
Mailing address
1066 E AVENUE J, LANCASTER, CA 93535-3870
(661) 942-1026
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2211232I
CA
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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