Alysha Lange, BACHELORS

NPI #1306275201 in Colton, California

Provider Information

NPI Number: 1306275201
Entity Type: Individual
Name: Alysha Lange, BACHELORS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: BACHELORS
Enumeration Date: Nov 1, 2013
Last Updated: Nov 1, 2013

Practice Location

Address: 790 VIA LATA STE 300
City: Colton
State: California
ZIP Code: 92324-3978
Phone: (909) 433-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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