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Individual

ERIC PROCTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
383 N MAIN ST # A, POMONA, CA 91768-3826
(909) 620-0688
(999) 999-9999
Mailing address
383 N MAIN ST, POMONA, CA 91768-3826
(909) 620-0068

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist
Primary
MPSS-GBFDLR
CA

Other

Enumeration date
12/27/2022
Last updated
03/17/2026
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