Individual
ANGELICA RAE GRIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 PALMDALE ROAD, VICTORVILLE, CA 92392
(760) 241-4917
(760) 241-8911
Mailing address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 241-4917
(760) 241-8911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36600031N
CA
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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