Individual
ALYSSA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19322 JESSE LN, RIVERSIDE, CA 92508-5072
(951) 387-4040
Mailing address
7183 AMANDA WAY, HESPERIA, CA 92345-8801
(760) 927-7487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
18972
CA
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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