Jesus Avitia, CADC II
Counselor, Addiction (Substance Use Disorder) in Ontario, CA. Individual provider (NPI-1).
NPI number1780159954
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1780159954
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jesus Avitia
- Credential
- CADC II
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2018
- Last updated
- Oct 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2940 Inland Empire BlvdOntario, CA 91764-4898
Phone 909-458-1350
Mailing address
2940 Inland Empire BlvdOntario, CA 91764-4898
Phone 909-458-1350
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