Provider Demographics
NPI:1740038793
Name:LALONE, NATALIE ANN (ACSW)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:LALONE
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12888 N OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2322
Mailing Address - Country:US
Mailing Address - Phone:805-264-5998
Mailing Address - Fax:
Practice Address - Street 1:791 N PEPPER AVE
Practice Address - Street 2:
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-1800
Practice Address - Country:US
Practice Address - Phone:909-824-0480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW121458101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor