Individual provider · Type 1 NPI

Faviola Alfaro Panduro

Addiction (Substance Use Disorder) Counselor · Bloomington, CA

NPI number 1487113114 Active

Practice location

18612 Santa Ana Ave
Bloomington, CA 92316-2639

Call (909) 421-7120 Map

Fax (909) 421-7128

Mailing address

290 Wilson Ave Apt 206
Perris, CA 92571-3020

Other practice locations

  • 1481 Windsor Dr, San Bernardino, CA 92404-5416 · (909) 361-6470

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487113114

Faviola Alfaro Panduro's National Provider Identifier is 1487113114, issued on Mar 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bloomington, CA. The record was last updated on Jan 30, 2023.