Individual provider · Type 1 NPI

Levin Alexander Gamaliel Landaverde Ventura Jr.

Professional Counselor · Fontana, CA

NPI number 1801578778 Active

Practice location

14677 Merrill Ave
Fontana, CA 92335-4219

Call (951) 643-2340 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1801578778

Levin Alexander Gamaliel Landaverde Ventura Jr.'s National Provider Identifier is 1801578778, issued on Aug 1, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fontana, CA. The record was last updated on Aug 1, 2023.