Individual
DARA D'ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1452 AMBROSIA ST, BEAUMONT, CA 92223-8473
(909) 519-9825
Mailing address
22711 ETON DR, GRAND TERRACE, CA 92313-5136
(909) 797-0114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC7949
CA
Other
Enumeration date
01/30/2017
Last updated
07/07/2023
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