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Mrs. Faviola Alfaro Panduro
Addiction (Substance Use Disorder) Counselor in Bloomington, California
NPI 1487113114

Faviola Alfaro Panduro is an Addiction (Substance Use Disorder) Counselor based in Perris, CA and is specialized in Addiction (Substance Use Disorder). Faviola Alfaro Panduro practices in Bloomington, CA. The NPI Number for Faviola Alfaro Panduro is 1487113114 and holds a License No. (California).

The current practice location address for Faviola Alfaro Panduro is 18612 Santa Ana Ave, Bloomington, CA and can be reached out via phone at 909-421-7120 and via fax at 909-421-7128.

Location: 18612 Santa Ana Ave, Bloomington, CA, 92571-3020
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487113114
Provider Name
Faviola Alfaro Panduro
Credential
Provider Entity Type
Individual
Gender
Female
Address
18612 Santa Ana Ave, Bloomington, CA, 92571-3020
Phone Number
909-421-7120
Fax Number
909-421-7128
Provider Enumeration Date
03/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18612 Santa Ana Ave
City
Bloomington
State
California
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
909-421-7128
person
Provider Business Mailing Address Details
Address
18612 Santa Ana Ave
City
Bloomington
State
California
Zip
92316-2639
Phone Number
909-421-7120
Fax Number
909-421-7128
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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