Individual
ALICIA DOLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22850 CALLE SAN JUAN DE LOS LAGOS, MORENO VALLEY, CA 92553-9045
(951) 486-6700
Mailing address
PO BOX 310496, FONTANA, CA 92331-0496
(707) 407-9149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20002
CA
106H00000X
Marriage & Family Therapist
Primary
155923
CA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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