Individual
MRS. ASTACIA DIANE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LPCC
Contact information
Practice address
418 N EL CAMINO REAL STE D, SAN CLEMENTE, CA 92672-4729
(909) 239-6312
Mailing address
PO BOX 5342, SAN CLEMENTE, CA 92674-5342
(909) 239-6312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13794
CA
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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