Individual
MISS ASUCENA M LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11776 MARIPOSA RD STE 101, HESPERIA, CA 92345-1622
(760) 956-2462
Mailing address
16738 MERRILL ST, VICTORVILLE, CA 92395-3910
(562) 360-6661
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
08/07/2019
Last updated
04/13/2021
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