Mr. Luis Anthony Provencio
Mr. Luis Anthony Provencio is an Addiction (Substance Use Disorder) Counselor in Bakersfield, California. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
1018 21st StBakersfield, CA 93301-4709
Phone: (661) 861-9967
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1750691887 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 7, 2010 |
| Last updated in NPPES | October 7, 2010 |
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