Individual
DR. HENRY SPENCER ONEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DR.AD, LEP, CATC
Contact information
Practice address
12402 INDUSTRIAL BLVD, SUITE 6, VICTORVILLE, CA 92395-5871
(760) 486-3855
Mailing address
12402 INDUSTRIAL BLVD, SUITE 6, VICTORVILLE, CA 92395-5871
(760) 486-3855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CATC O1012101852
CA
101YP1600X
Pastoral Counselor
BCPCC 0318
VA
101YS0200X
School Counselor
R51A-BPPS-120047281
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
M-RAS O1012101852
CA
103TA0700X
Adult Development & Aging Psychologist
LEP 2480
CA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LEP 2480
CA
103TC2200X
Clinical Child & Adolescent Psychologist
LEP 2480
CA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LEP 2480
CA
103TS0200X
School Psychologist
R513-SP2-120047281
CA
1041S0200X
School Social Worker
R51A-BPPS-120047281
CA
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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