Individual
ARLENE HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
Mailing address
790 E BONITA AVE, POMONA, CA 91767-1906
(909) 625-7207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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