Individual
MRS. ALISA LEANNE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 CAJON ST., SUITE F, REDLANDS, CA 92373
(909) 283-0806
Mailing address
256 CAJON ST., SUITE F, REDLANDS, CA 92373
(909) 283-0806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
65111
CA
106H00000X
Marriage & Family Therapist
Primary
78329
CA
Other
Enumeration date
03/22/2011
Last updated
05/18/2016
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