MR. Luis Anthony Provencio is an addiction (substance use disorder) counselor in Bakersfield, CA. MR. Luis Anthony Provencio NPI is 1750691887. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1018 21ST ST
BAKERSFIELD, CA
ZIP 93301-709
Phone: (661) 861-9967
The enumeration date for this NPI number is 10/7/2010 and was last updated on 10/7/2010.