Individual
MRS. ALICIA ROSE MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8325 HAVEN AVE STE 209, RANCHO CUCAMONGA, CA 91730-3894
(760) 687-5031
(310) 751-5422
Mailing address
PO BOX 775, REDLANDS, CA 92373-0241
(760) 687-5031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
28557
CA
Other
Enumeration date
11/01/2006
Last updated
04/22/2020
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