Desiree Provencio

  • NPI 1205023447
According to our database, the NPI number for Desiree Provencio is 1205023447 and activated since 16 years ago. Desiree Provencio is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 24625 Arch St, Santa Clarita, CA 91321. You can also contact Desiree Provencio via telephone number is (661) 254-6630. Provider NPI information was last updated on 10/02/2007.

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Overview of Desiree Provencio

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 10/02/2007
  • Last updated: 10/02/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 26460 Summit Cir
    Santa Clarita, CA 91350
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 24625 Arch St
    Santa Clarita, CA 91321
  • Phone: 661-254-6630
  • Fax:

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Desiree Provencio?
  • A: The npi number for Desiree Provencio is 1205023447.
  • Q: What are Desiree Provencio's specialties?
  • A: Desiree Provencio's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Desiree Provencio?
  • A: The medical license number for Desiree Provencio is unknow and issued in unknow in USA.
  • Q: Where is Desiree Provencio practice location?
  • A: Desiree Provencio is practicing at 24625 Arch St, Santa Clarita, CA 91321.
  • Q: How to contact Desiree Provencio?
  • A: You can contact Desiree Provencio via 661-254-6630.
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