Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIREE PROVENCIO
Active Sole ProprietorDESIREE PROVENCIO is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SANTA CLARITA, California. NPI 1205023447 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SANTA CLARITA, CA
Registration Details
- NPI Number
- 1205023447
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 2, 2007 (18.832492045954 yrs)
- Last Updated
- Oct 2, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
24625 ARCH STSANTA CLARITA, CA, 913211111Browse CA providers · Browse ZIP 91321
- Phone
- 6612546630
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SANTA CLARITA, CA
| Name | Credential | NPI |
|---|---|---|
| MAYRA ARAMBULA | — | 1134323645 |
| DERRICK FORTUNE | — | 1386831535 |
| GUY BALLARD | — | 1427230192 |
| JENNIFER KANE | CAS | 1033533393 |
| MR. JACK THORNE | CATC-1 | 1134545502 |
| MR. RICHARD KEITH POTTER | — | 1720406218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.