Individual provider · Type 1 NPI

Anthony Carlos Madrid, R1491481222

Addiction (Substance Use Disorder) Counselor · Victorville, CA

NPI number 1619682341 Active

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1491481222 (CA)

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

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About NPI 1619682341

Anthony Carlos Madrid, R1491481222's National Provider Identifier is 1619682341, issued on Jan 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Victorville, CA. The record was last updated on Jan 24, 2024.