person
Tayra Del Real
Addiction (Substance Use Disorder) Counselor in San Dimas, California
NPI 1619504073

Tayra Del Real is an Addiction (Substance Use Disorder) Counselor based in San Dimas, CA and is specialized in Addiction (Substance Use Disorder). Tayra Del Real practices in San Dimas, CA. The NPI Number for Tayra Del Real is 1619504073 and holds a License No. 13771-R (California).

The current practice location address for Tayra Del Real is 325 S San Dimas Canyon Rd Apt 13B, San Dimas, CA and can be reached out via phone at 626-222-3327.

Location: 325 S San Dimas Canyon Rd Apt 13B, San Dimas, CA, 91773-3046
person
Provider Profile Details
NPI Number
1619504073
Provider Name
Tayra Del Real
Credential
Provider Entity Type
Individual
Gender
Female
Address
325 S San Dimas Canyon Rd Apt 13B, San Dimas, CA, 91773-3046
Phone Number
626-222-3327
Fax Number
Provider Enumeration Date
03/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
325 S San Dimas Canyon Rd Apt 13B
City
State
Zip
91773-3046
Phone Number
626-222-3327
Fax Number
person
Provider Business Mailing Address Details
Address
325 S San Dimas Canyon Rd Apt 13B
City
State
Zip
91773-3046
Phone Number
626-222-3327
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13771-R (California)
Definition
Definition to come...
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