Individual
VIVEK SHARMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
597 W CASA MIRAGE DR, CASA GRANDE, AZ 85122-6137
(909) 559-3034
Mailing address
12861 MEDITERRANEAN DR, RANCHO CUCAMONGA, CA 91739-8954
(909) 559-3034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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