Individual provider · Type 1 NPI

Misty M. Olivares

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1023691680 Active

Practice location

11776 Mariposa Rd
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Mailing address

15469 Morada Rd
Victorville, CA 92394-1931

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023691680

Misty M. Olivares's National Provider Identifier is 1023691680, issued on May 3, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on May 3, 2021.