TAE'A LASHEA AGNEW

ESCONDIDO, CA
NPI1164216370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  21053)
Enumeration Date2025-04-04
Last Update Date2025-04-04
Business Address
Miss TAE'A LASHEA AGNEW SUDRC
200 E WASHINGTON AVE STE 100
ESCONDIDO, CA 92025-1806
Phone number: 760-741-7708
Mailing Address
Miss TAE'A LASHEA AGNEW SUDRC
39485 SALINAS DR
MURRIETA, CA 92563-6819
Phone number: 760-718-9350