Larry Theodore Aragon, CADAC II, ICADC
Counselor, Addiction (Substance Use Disorder) in Loma Linda, CA. Individual provider (NPI-1).
NPI number1215059050
StatusActive
Last updated in NPPESJun 12, 2018
Details
- NPI
- 1215059050
- Entity type
- Individual (NPI-1)
- Name
- Larry Theodore Aragon
- Credential
- CADAC II, ICADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2007
- Last updated
- Jun 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
25612 Barton Rd # 286Loma Linda, CA 92354-3110
Phone 909-478-2359 · Fax 909-748-6424
Mailing address
25612 Barton Rd # 286Loma Linda, CA 92354-3110
Phone 909-478-2359
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