Individual
ALICIA MIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RASI
Contact information
Practice address
1330 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4880
(760) 322-9065
Mailing address
12846 RUBY CT, MORENO VALLEY, CA 92553-3132
(909) 963-9270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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