Individual
REFUJIO VIVANCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3300
Mailing address
650 N STATE ST, HEMET, CA 92543-2960
(951) 791-3300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/25/2021
Last updated
04/10/2023
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