Individual provider · Type 1 NPI

Desiree Provencio

Addiction (Substance Use Disorder) Counselor · Santa Clarita, CA

NPI number 1205023447 Active

Practice location

24625 Arch St
Santa Clarita, CA 91321-1111

Call (661) 254-6630 Map

Mailing address

26460 Summit Cir
Santa Clarita, CA 91350-2991

Specialties and licenses

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

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

19 other providers at this address

Other addiction (substance use disorder) counselor providers in Santa Clarita

See all in Santa Clarita →

About NPI 1205023447

Desiree Provencio's National Provider Identifier is 1205023447, issued on Oct 2, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Clarita, CA. The record was last updated on Oct 2, 2007.