Individual
ALYSSA RAGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
559 MENDOCINO CT, ATWATER, CA 95301-4230
(209) 357-5200
(209) 357-5279
Mailing address
3625 DOVE CT, MERCED, CA 95340-9377
(209) 316-8603
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1561400524
CA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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