Desiree Provencio is an addiction (substance use disorder) counselor in Santa Clarita, CA. Desiree Provencio NPI is 1205023447. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
24625 ARCH ST
SANTA CLARITA, CA
ZIP 91321-111
Phone: (661) 254-6630
The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.