Individual provider · Type 1 NPI

Albert Provencio

Counselor · Pomona, CA

NPI number 1336537554 Active

Practice location

160 E Holt Ave, B
Pomona, CA 91767-5406

Call (909) 620-2521 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1336537554

Albert Provencio's National Provider Identifier is 1336537554, issued on Dec 23, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pomona, CA. The record was last updated on Dec 23, 2014.