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Irvin Omar Juarez
Addiction (Substance Use Disorder) Counselor in Colton, California
NPI 1528711280

Irvin Omar Juarez is an Addiction (Substance Use Disorder) Counselor based in Fontana, CA and is specialized in Addiction (Substance Use Disorder). Irvin Omar Juarez practices in Colton, CA. The NPI Number for Irvin Omar Juarez is 1528711280 and holds a License No. 130893 (California).

The current practice location address for Irvin Omar Juarez is 851 S Mount Vernon Ave Ste 7A, Colton, CA and can be reached out via phone at 760-241-6044. You can also correspond with Irvin Omar Juarez through the mailing address at 15675 PAINE ST, FONTANA, CA - 92336-8744 (mailing address contact number: 909-279-5888).

Location: 851 S Mount Vernon Ave Ste 7A, Colton, CA, 92336-8744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528711280
Provider Name
Irvin Omar Juarez
Credential
Provider Entity Type
Individual
Gender
Male
Address
851 S Mount Vernon Ave Ste 7A, Colton, CA, 92336-8744
Phone Number
760-241-6044
Fax Number
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
851 S Mount Vernon Ave Ste 7A
City
Colton
State
California
Zip
92324-3926
Phone Number
760-241-6044
Fax Number
person
Provider Business Mailing Address Details
Address
851 S Mount Vernon Ave Ste 7A
City
Colton
State
California
Zip
92324-3926
Phone Number
760-241-6044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
130893 (California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
130893 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
130893 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
130893 (California)
Definition
Definition to come...
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