Individual provider · Type 1 NPI

Mingon Valencia Major Lance, RADT

Addiction (Substance Use Disorder) Counselor · San Bernardino, CA

NPI number 1619726643 Active

Practice location

1721 N Fairfax Dr Apt D
San Bernardino, CA 92404-5500

Call (818) 305-1471 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1509460623 (CA)

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

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About NPI 1619726643

Mingon Valencia Major Lance, RADT's National Provider Identifier is 1619726643, issued on May 13, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Bernardino, CA. The record was last updated on May 13, 2024.