Individual
CASSIDY ALYSE HARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 GRACE AVE, BALDWIN PARK, CA 91706
(626) 435-7294
Mailing address
4514 GRACE AVE, BALDWIN PARK, CA 91706-2222
(626) 435-7294
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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