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Individual

ALYSSA DANIELLE TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1450 N LAKE AVE STE 200, PASADENA, CA 91104-2389
(626) 564-4240
Mailing address
1450 N LAKE AVE STE 200, PASADENA, CA 91104-2389
(626) 564-4240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/16/2021
Last updated
04/16/2021
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