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Mrs. Alice Sally Pruitt
Addiction (Substance Use Disorder) Counselor in Ontario, California
NPI 1568969269

Alice Sally Pruitt is an Addiction (Substance Use Disorder) Counselor based in Riverside, CA and is specialized in Addiction (Substance Use Disorder). Alice Sally Pruitt practices in Ontario, CA. The NPI Number for Alice Sally Pruitt is 1568969269 and holds a License No. 13736-R (California).

The current practice location address for Alice Sally Pruitt is 125 W F St, Ontario, CA and can be reached out via phone at 909-986-4550.

Location: 125 W F St, Ontario, CA, 92501-2503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568969269
Provider Name
Alice Sally Pruitt
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 W F St, Ontario, CA, 92501-2503
Phone Number
909-986-4550
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 W F St
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
Fax Number
person
Provider Business Mailing Address Details
Address
125 W F St
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
13736-R (California)
Definition
Definition to come...
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