Juan Carlos Venegas Jr.
Counselor, Addiction (Substance Use Disorder) in Riverside, CA. Individual provider (NPI-1).
NPI number1982127684
StatusActive
Last updated in NPPESJul 25, 2017
Details
- NPI
- 1982127684
- Entity type
- Individual (NPI-1)
- Name
- Juan Carlos Venegas Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2017
- Last updated
- Jul 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | CA | Yes |
Practice location
17270 Roosevelt AveRiverside, CA 92508
Phone 951-780-2541 · Fax 951-780-5809
Mailing address
21651 Old Elsinore RdPerris, CA 92570
Phone 951-662-3395
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