Individual
MRS. CHRISTINE DEANNE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
15345 BONANZA RD, VICTORVILLE, CA 92392-2499
(760) 713-7159
Mailing address
12630 HIGH DESERT RD, VICTORVILLE, CA 92392-6203
(760) 221-5906
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AII054930418
CA
Other
Enumeration date
07/23/2012
Last updated
10/02/2025
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