Individual provider · Type 1 NPI

Lavonna Gail Connelly, MSW-INTERN

Mental Health Counselor · Escondido, CA

NPI number 1144351248 Active

Practice location

474 W Vermont Ave
Escondido, CA 92025-6584

Mailing address

208 Hillcrest Ln
Ramona, CA 92065-2919

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144351248

Lavonna Gail Connelly, MSW-INTERN's National Provider Identifier is 1144351248, issued on Mar 8, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Escondido, CA. The record was last updated on Jul 8, 2007.