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Lydia Deanne Velasquez, CADC I

Counselor, Addiction (Substance Use Disorder) in Victorville, CA. Individual provider (NPI-1).

NPI number1003578469
StatusActive
Last updated in NPPESMay 1, 2025

Details

NPI
1003578469
Entity type
Individual (NPI-1)
Name
Miss Lydia Deanne Velasquez
Credential
CADC I
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2021
Certification date
Apr 29, 2025
Last updated
May 1, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)Ci44540924CAYes

Practice location

13333 Palmdale Rd
Victorville, CA 92392-9364

Phone 760-241-4917 · Fax 760-951-7967

Mailing address

13333 Palmdale Rd
Victorville, CA 92392-9364

Phone 760-487-3600

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Addiction (Substance Use Disorder) Counselor providers in Victorville, CA

All 153 Addiction (Substance Use Disorder) Counselor providers in Victorville · All 3,391 providers in Victorville

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