Most Relevant Information
Provider Data
| NPI Number: | 1003669888 |
| Provider Name: | ALYSSA MICHELE CAVANAUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 101YS0200X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2024 |
| Last Updated: | 04/10/2024 |
Provider Practice Location
20 W LUGONIA AVE
REDLANDS
CA
923742234
Practice Location Phone/Fax
| Phone: | 9097304069 |
| Fax: |
Provider Mailing Location
20 W LUGONIA AVE
REDLANDS
CA
923742234
Provider Mailing Phone/Fax
| Phone: | 9097304069 |
| Fax: |