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Kelly Javonillo
Addiction (Substance Use Disorder) Counselor in Long Beach, California
NPI 1437764362

Kelly Javonillo is an Addiction (Substance Use Disorder) Counselor based in Long Beach, CA and is specialized in Addiction (Substance Use Disorder). Kelly Javonillo practices in Long Beach, CA. The NPI Number for Kelly Javonillo is 1437764362 and holds a License No. (California).

The current practice location address for Kelly Javonillo is 1360 E Anaheim St, Long Beach, CA and can be reached out via phone at 562-218-9530.

Location: 1360 E Anaheim St, Long Beach, CA, 90813-5514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437764362
Provider Name
Kelly Javonillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1360 E Anaheim St, Long Beach, CA, 90813-5514
Phone Number
562-218-9530
Fax Number
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1360 E Anaheim St
City
Long Beach
State
California
Zip
90813-5514
Phone Number
562-218-9530
Fax Number
person
Provider Business Mailing Address Details
Address
1360 E Anaheim St
City
Long Beach
State
California
Zip
90813-5514
Phone Number
562-218-9530
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...
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