Clarissa Dorr, PPS Credential
Counselor, School in Montclair, CA. Individual provider (NPI-1).
NPI number1356178255
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1356178255
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Dorr
- Credential
- PPS Credential
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YS0200X | Counselor, School | 240161424 | CA | Yes |
Practice location
4724 San Jose St.Montclair, CA 91763
Phone 909-624-0029
Mailing address
950 W D StOntario, CA 91762-3026
Phone 909-624-0029
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