Individual
ARLA PROVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13525 CIELO AZUL WAY, DESERT HOT SPRINGS, CA 92240-6235
(760) 329-4619
Mailing address
13525 CIELO AZUL WAY, DESERT HOT SPRINGS, CA 92240-6235
(760) 329-4673
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C14781214
CA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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