Organization
LIFE SKILLS AWARENESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI R THOMAS LPCC (PRESIDENT/LPCC)
(760) 949-1200
Entity
Organization
Contact information
Practice address
15353 BONANZA RD STE 2, VICTORVILLE, CA 92392-2465
(760) 552-4440
(760) 657-2408
Mailing address
15353 BONANZA RD STE 2, VICTORVILLE, CA 92392-2465
(760) 552-4440
(760) 657-2408
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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