Individual
ALFONSO REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 KILSON DR, SANTA ANA, CA 92707-2954
(949) 734-7432
(949) 734-7433
Mailing address
2201 KILSON DR, SANTA ANA, CA 92707-2954
(949) 734-7432
(949) 734-7433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1265770917
CA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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