Individual provider · Type 1 NPI

Mayisa Dennis

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1699308965 Active

Practice location

11776 Mariposa Rd
Hesperia, CA 92345-1622

Fax (323) 897-5334

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10943 (CA)

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

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About NPI 1699308965

Mayisa Dennis's National Provider Identifier is 1699308965, issued on Feb 14, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on Aug 25, 2025.