IRVIN OMAR JUAREZ NPI 1528711280

NPI Information

NPI: 1528711280
Provider Name: IRVIN OMAR JUAREZ
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
851 S MOUNT VERNON AVE STE 7A
COLTON, CA
ZIP 92324
Phone: (760) 241-6044
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Irvin Omar Juarez is a mental health counselor in Colton, CA. Irvin Omar Juarez NPI is 1528711280. 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:

851 S MOUNT VERNON AVE STE 7A
COLTON, CA
ZIP 92324-926
Phone: (760) 241-6044

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		130893	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	130893	CALIFORNIA	No
3	101YM0800X	Counselor	Mental Health	130893	CALIFORNIA	Yes
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	130893	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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