Individual
BEATRICE ELENA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11396 HUBBARD ST, MORENO VALLEY, CA 92557-5649
(951) 902-1695
Mailing address
11396 HUBBARD ST, MORENO VALLEY, CA 92557-5649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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