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Individual

MS. BETTY JOE VEASLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
837 E ARROW HWY, SUITE #3, POMONA, CA 91767-2587
(909) 621-9052
(909) 621-1994
Mailing address
837 E ARROW HWY, SUITE #3, POMONA, CA 91767-2587
(909) 621-9052
(909) 621-1994

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YAO400X
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457669475
NPI
CA
Enumeration date
01/13/2016
Last updated
01/13/2016
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