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Individual

CARMEN DIONNE EARLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SUDRC 15389

Contact information

Practice address
7806 SIERRA AVE APT 314, FONTANA, CA 92336-3388
(909) 688-8003
Mailing address
4646 ELMO DRIVE, 4646, LOS ANGELES, CA 90019
(909) 688-8003

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15398
CA

Other

Enumeration date
09/23/2024
Last updated
09/23/2024
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