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Mr. Douglas Horacio Tavira
Mental Health Counselor in Riverside, California
NPI 1801057187

Douglas Horacio Tavira is a Mental Health Counselor based in Riverside, CA and is specialized in Mental Health. Douglas Horacio Tavira practices in Riverside, CA. The NPI Number for Douglas Horacio Tavira is 1801057187 and holds a License No. (California).

The current practice location address for Douglas Horacio Tavira is 3801 University Ave, Riverside, CA and can be reached out via phone at 951-955-7334.

Location: 3801 University Ave, Riverside, CA, 92506-2327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801057187
Provider Name
Douglas Horacio Tavira
Credential
Provider Entity Type
Individual
Gender
Male
Address
3801 University Ave, Riverside, CA, 92506-2327
Phone Number
951-955-7334
Fax Number
Provider Enumeration Date
06/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3801 University Ave
City
Riverside
State
California
Zip
92501-3247
Phone Number
951-955-7334
Fax Number
person
Provider Business Mailing Address Details
Address
3801 University Ave
City
Riverside
State
California
Zip
92501-3247
Phone Number
951-955-7334
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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