Individual
MR. ALPHONSO LANCELOT SPEARS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Mailing address
11776 MARIPOSA RD, HESPERIA, CA 92345-1622
(760) 956-2462
(760) 956-7542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YA0400X
—
CA
Enumeration date
07/09/2018
Last updated
07/09/2018
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