Individual
MR. RAYMOND VELENCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA3093
MD
101YP2500X
Professional Counselor
Primary
LC12376
MD
Other
Enumeration date
11/03/2020
Last updated
09/06/2022
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