MARIA GUADALUPE LAVIGNE

SAN BERNARDINO, CA
NPI1477387769
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1575540824)
Enumeration Date2024-08-28
Last Update Date2024-08-28
Business Address
MARIA GUADALUPE LAVIGNE RAD-T
349 W 11TH ST
SAN BERNARDINO, CA 92410-3513
Phone number: 909-506-1247
Mailing Address
MARIA GUADALUPE LAVIGNE RAD-T
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840