Individual provider · Type 1 NPI

Theresa Ann Halcon

Addiction (Substance Use Disorder) Counselor · Moreno Valley, CA

NPI number 1316240930 Active

Practice location

24384 Sunnymead Blvd Ste 240
Moreno Valley, CA 92553-7765

Call (951) 243-0303 Map

Fax (951) 243-3006

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 1316240930

Theresa Ann Halcon's National Provider Identifier is 1316240930, issued on Dec 21, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Moreno Valley, CA. The record was last updated on Jan 10, 2011.