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Mr. Glenn Patrick Tajalle
Addiction (Substance Use Disorder) Counselor in Corona, California
NPI 1003512971

Glenn Patrick Tajalle is an Addiction (Substance Use Disorder) Counselor based in Corona, CA and is specialized in Addiction (Substance Use Disorder). Glenn Patrick Tajalle practices in Corona, CA. The NPI Number for Glenn Patrick Tajalle is 1003512971 and holds a License No. (California).

The current practice location address for Glenn Patrick Tajalle is 161 Exeter Way, Corona, CA and can be reached out via phone at 714-675-9089. You can also correspond with Glenn Patrick Tajalle through the mailing address at 161 EXETER WAY, CORONA, CA - 92882-8502 (mailing address contact number: 714-675-9089).

Location: 161 Exeter Way, Corona, CA, 92882-8502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003512971
Provider Name
Glenn Patrick Tajalle
Credential
Provider Entity Type
Individual
Gender
Male
Address
161 Exeter Way, Corona, CA, 92882-8502
Phone Number
714-675-9089
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
161 Exeter Way
City
Corona
State
California
Zip
92882-8502
Phone Number
714-675-9089
Fax Number
person
Provider Business Mailing Address Details
Address
161 Exeter Way
City
Corona
State
California
Zip
92882-8502
Phone Number
714-675-9089
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
(California)
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
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