ARIEL DIVINITY WILCOXEN

YUCAIPA, CA
NPI1013452440
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  15136)
Additional Taxonomies101YM0800X Counselor, Mental Health
101YP2500X Counselor, Professional
171M00000X Case Manager/Care Coordinator
Enumeration Date2016-12-20
Last Update Date2024-06-05
Business Address
Miss ARIEL DIVINITY WILCOXEN M.S
10776 FREMONT ST
YUCAIPA, CA 92399-9630
Phone number: 909-797-0114
Mailing Address
Miss ARIEL DIVINITY WILCOXEN M.S
10776 FREMONT ST, YUCAIPA, CA, 92399
YUCAIPA, CA 92399
Phone number: 909-797-0114