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Lisa Marie Penaloza
Addiction (Substance Use Disorder) Counselor in Orange, California
NPI 1336629682

Lisa Marie Penaloza is an Addiction (Substance Use Disorder) Counselor based in Orange, CA and is specialized in Addiction (Substance Use Disorder). Lisa Marie Penaloza practices in Orange, CA. The NPI Number for Lisa Marie Penaloza is 1336629682 and holds a License No. (California).

The current practice location address for Lisa Marie Penaloza is 265 S Anita Dr, Orange, CA and can be reached out via phone at 949-749-2500.

Location: 265 S Anita Dr, Orange, CA, 92868-3346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336629682
Provider Name
Lisa Marie Penaloza
Credential
Provider Entity Type
Individual
Gender
Female
Address
265 S Anita Dr, Orange, CA, 92868-3346
Phone Number
949-749-2500
Fax Number
Provider Enumeration Date
08/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
265 S Anita Dr
City
Orange
State
California
Zip
92868-3355
Phone Number
949-749-2500
Fax Number
person
Provider Business Mailing Address Details
Address
265 S Anita Dr
City
Orange
State
California
Zip
92868-3355
Phone Number
949-749-2500
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.
CATC2210476 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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