Individual
AIMEE LYNNE HARVASTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
20331 FLANAGAN RD., TRABUCO CANYON, CA 92679-9267
(818) 582-8832
Mailing address
19082 WOODWARD LN, HUNTINGTON BEACH, CA 92646-2319
(949) 298-0374
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1411961220
CA
Other
Enumeration date
01/20/2021
Last updated
01/21/2021
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