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Individual

ALICE ACOSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RI-A1312301023

Contact information

Practice address
10511 MILLS AVE, WHITTIER, CA 90604-2440
(562) 944-7953
(562) 946-7494
Mailing address
10511 MILLS AVE, WHITTIER, CA 90604-2440
(562) 944-7953
(562) 946-7494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RI-A1312301023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RI-A1312301023
BREINING
CA
Enumeration date
02/25/2016
Last updated
02/25/2016
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