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Individual

FABIAN VALDEZ JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
16357 RAINBOW RIDGE RD, CHINO HILLS, CA 91709
(951) 660-6878
Mailing address
16357 RAINBOW RIDGE RD, CHINO HILLS, CA 91709-2366
(951) 660-6878

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
104100000X
Social Worker
Primary
1041C0700X
Clinical Social Worker
1041S0200X
School Social Worker

Other

Enumeration date
07/17/2012
Last updated
07/17/2012
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