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Vine Peace
Addiction (Substance Use Disorder) Counselor in Orange, California
NPI 1730618190

Vine Peace is an Addiction (Substance Use Disorder) Counselor based in Orange, CA and is specialized in Addiction (Substance Use Disorder). Vine Peace practices in Orange, CA. The NPI Number for Vine Peace is 1730618190 and holds a License No. AII16230820 (California).

The current practice location address for Vine Peace 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, 92868-3355
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730618190
Provider Name
Vine Peace
Credential
Provider Entity Type
Individual
Gender
Male
Address
265 S Anita Dr, Orange, CA, 92868-3355
Phone Number
949-749-2500
Fax Number
Provider Enumeration Date
06/08/2017
Last Update Date
03/09/2024
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.
AII16230820 (California)
Definition
Definition to come...
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