Organization
EEC
Active
Other names
Excelsior Charter School
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LOWE (ASSISTANT SUPERINTENDENT)
(760) 245-4262
Entity
Organization
Contact information
Practice address
15505 CIVIC DR, VICTORVILLE, CA 92392-2357
(760) 245-4262
Mailing address
15505 CIVIC DR, VICTORVILLE, CA 92392-2357
(760) 245-4262
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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