Individual provider · Type 1 NPI

Maurice Guilleaume

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1104395128 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Fax (909) 421-7128

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 1104395128

Maurice Guilleaume's National Provider Identifier is 1104395128, issued on Nov 20, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Nov 20, 2018.