Individual provider · Type 1 NPI

Ronald Gene Declue

Addiction (Substance Use Disorder) Counselor · Anaheim, CA

NPI number 1093558595 Active

Practice location

1320 W Pearl St
Anaheim, CA 92801-5941

Call (714) 780-1174 Map

Fax (714) 844-9153

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1586751124 (CA)

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

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About NPI 1093558595

Ronald Gene Declue's National Provider Identifier is 1093558595, issued on Jun 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Anaheim, CA. The record was last updated on Jul 25, 2025.