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Mr. Vernon Albert Holm
Addiction (Substance Use Disorder) Counselor in San Dimas, California
NPI 1235441510

Vernon Albert Holm is an Addiction (Substance Use Disorder) Counselor based in San Dimas, CA and is specialized in Addiction (Substance Use Disorder). Vernon Albert Holm practices in San Dimas, CA. The NPI Number for Vernon Albert Holm is 1235441510 and holds a License No. 1367 (California).

The current practice location address for Vernon Albert Holm is 323 W 2Nd St, San Dimas, CA and can be reached out via phone at 909-919-8081 and via fax at 909-592-6897.

Location: 323 W 2Nd St, San Dimas, CA, 91773-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235441510
Provider Name
Vernon Albert Holm
Credential
Provider Entity Type
Individual
Gender
Male
Address
323 W 2Nd St, San Dimas, CA, 91773-2029
Phone Number
909-919-8081
Fax Number
909-592-6897
Provider Enumeration Date
07/02/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
323 W 2Nd St
City
San Dimas
State
California
Zip
91773-2029
Phone Number
909-919-8081
Fax Number
909-592-6897
person
Provider Business Mailing Address Details
Address
323 W 2Nd St
City
San Dimas
State
California
Zip
91773-2029
Phone Number
909-919-8081
Fax Number
909-592-6897
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
1367 (California)
Definition
Definition to come...
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