Individual
IGNACIO YOGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2085 RUSTIN AVE, RIVERSIDE, CA 92507-2498
(951) 509-2400
Mailing address
9842 13TH ST, GARDEN GROVE, CA 92844-3171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-P0GRBG
CA
Other
Enumeration date
03/23/2016
Last updated
11/04/2024
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