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Patricia Pedregon

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

NPI number1407129166
StatusActive
Last updated in NPPESFeb 10, 2012

Details

NPI
1407129166
Entity type
Individual (NPI-1)
Name
Patricia Pedregon
Sex
Female
Sole proprietor
No
Enumeration date
Feb 10, 2012
Last updated
Feb 10, 2012

Taxonomy and licenses

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

Practice location

2055 N Perris Blvd Ste G
Perris, CA 92571-2509

Phone 951-216-7300 · Fax 951-216-7333

Mailing address

Po Box 549
Lake Elsinore, CA 92531-0549

Phone 951-216-7300 · Fax 951-216-7333

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