Altivise Lashun Harper, SUDCC

NPI #1467208819 in Apple Valley, California

Provider Information

NPI Number: 1467208819
Entity Type: Individual
Name: Altivise Lashun Harper, SUDCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: SUDCC
Enumeration Date: Apr 26, 2024
Last Updated: Apr 26, 2024

Practice Location

Address: 21101 DALE EVANS PKWY
City: Apple Valley
State: California
ZIP Code: 92307-9356
Phone: (310) 626-2858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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