LAVINA ELLISON

APPLE VALLEY, CA
NPI1689103814
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  105780)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-06-10
Last Update Date2018-07-20
Business Address
LAVINA ELLISON
10755 APPLE VALLEY RD
APPLE VALLEY, CA 92308
Phone number: 760-247-9840
Mailing Address
LAVINA ELLISON
16980 NISQUALLI RD APT E103
VICTORVILLE, CA 92395-9622
Phone number: 760-876-9735