Individual
LORENE ASHLEY DEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
150 W FOOTHILL BLVD UNIT A, SAN DIMAS, CA 91773-1103
(626) 507-3585
Mailing address
319 MARIPOSA AVE APT C, SIERRA MADRE, CA 91024-2392
(760) 490-4977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16787
CA
Other
Enumeration date
12/21/2024
Last updated
12/21/2024
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