Desiree Provencio in Santa Clarita - Addiction (substance Use Disorder)
Desiree Provencio - NPI 1205023447
Desiree Provencio is a Addiction (substance Use Disorder) in Santa Clarita, California. Desiree Provencio practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Desiree Provencio is 1205023447. The last update date is 2007-10-02.
Desiree Provencio's current location address is 24625 Arch St, Santa Clarita, California. You can contact this provider via phone number 6612546630. The mailing address for Desiree Provencio is 24625 Arch St, Santa Clarita, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Desiree Provencio |
---|---|
Address | 24625 Arch St, Santa Clarita, California |
Phone Number | 6612546630 |
Fax Number | |
Sole Proprietor | Y |
Credentials | -- |
NPI Number Detail
NPI Number | 1205023447 |
---|---|
Provider Enumeration Date | 2007-10-02 |
Last Updated Date | 2007-10-02 |
Provider Mailing Address Detail
Address | 24625 Arch St |
---|---|
City | Santa Clarita |
State | California (CA) |
Post Code | 913211111 |
Phone Number | 6612546630 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique 10-digit identification code issued to Desiree Provencio by the Centers for Medicare & Medicaid Services?
The Desiree Provencio has been assigned the NPI (National Provider Identifier) 1205023447 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Desiree Provencio?
The Desiree Provencio is situated at 24625 Arch St, in the city of Santa Clarita, state of CA, with the zip code 913211111.
What is Desiree Provencio's area of expertise and its corresponding taxonomy classification?
The Desiree Provencio's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
When was the Desiree Provencio's 1205023447 issued?
The Desiree Provencio's 1205023447 was issued on 2007-10-02.
When was the information related to Desiree Provencio most recently updated or refreshed?
The details pertaining to the Desiree Provencio, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-02.
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