Individual
MR. CHRIS LEO CISNEROS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 E FRUIT ST, SANTA ANA, CA 92701-4296
(714) 953-9373
Mailing address
15115 TOLMAN DR, WHITTIER, CA 90604-1550
(714) 514-5795
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15007-RAC
CA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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