Individual provider · Type 1 NPI

Mario Urista

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1053054056 Active

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Call (760) 487-3600 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XR1369481019 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI42530524 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XA0541660125 (CA)

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

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About NPI 1053054056

Mario Urista's National Provider Identifier is 1053054056, issued on Apr 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Mar 26, 2026.