Individual provider · Type 1 NPI

Joey Q. Ruvalcaba, RADT (CCAPP)

Addiction (Substance Use Disorder) Counselor · Lake View Terrace, CA

NPI number 1356804165 Active

Practice location

11600 Eldridge Ave
Lake View Terrace, CA 91342-6506

Mailing address

133 Park Ave Apt 108
San Fernando, CA 91340-3086

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1220251215 (CA)

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

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About NPI 1356804165

Joey Q. Ruvalcaba, RADT (CCAPP)'s National Provider Identifier is 1356804165, issued on Apr 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake View Terrace, CA. The record was last updated on Apr 9, 2019.