Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Desiree Provencio

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205023447

Desiree Provencio is an Addiction (Substance Use Disorder) Counselor in Santa Clarita, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

24625 Arch St
Santa Clarita, CA 91321-1111
Phone: (661) 254-6630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1205023447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 2, 2007
Last updated in NPPESOctober 2, 2007

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