Individual provider · Type 1 NPI

John Aceves Flores, 09/11/2017

Addiction (Substance Use Disorder) Counselor · Pomona, CA

NPI number 1477004802 Active

Practice location

656 N Park Ave
Pomona, CA 91768-3679

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1-F1109112058 (CA)

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

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About NPI 1477004802

John Aceves Flores, 09/11/2017's National Provider Identifier is 1477004802, issued on Oct 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pomona, CA. The record was last updated on Oct 20, 2016.