Individual
BERNICE CUERVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 THIRD AVE, CHULA VISTA, CA 91911-3136
(619) 565-8880
Mailing address
3340 KEMPER ST STE 103, SAN DIEGO, CA 92110-4907
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1332221218
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
07/27/2018
Last updated
11/12/2019
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