Individual
CELESTE MARIE DIMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
120 W HAWTHORNE ST, FALLBROOK, CA 92028-2053
(760) 731-3235
(760) 731-4950
Mailing address
120 W HAWTHORNE ST, FALLBROOK, CA 92028-2053
(760) 731-3235
(760) 731-4950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC 48382
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48382
MFC LICENSE
CA
Enumeration date
07/19/2007
Last updated
04/22/2010
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