Individual
BRENDA VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
845 E ARROW HWY, POMONA, CA 91767-2535
(909) 624-1233
Mailing address
845 E ARROW HWY, POMONA, CA 91767-2535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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