MARIO URISTA

VICTORVILLE, CA
NPI1053054056
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Ci42530524)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1369481019)
Enumeration Date2022-04-18
Last Update Date2024-07-02
Business Address
MARIO URISTA
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600
Mailing Address
MARIO URISTA
13333 PALMDALE RD
VICTORVILLE, CA 92392-9364
Phone number: 760-487-3600