JUAN CARLOS VENEGAS

RIVERSIDE, CA
NPI1982127684
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2017-07-25
Last Update Date2017-07-25
Business Address
JUAN CARLOS VENEGAS
17270 ROOSEVELT AVE
RIVERSIDE, CA 92508
Phone number: 951-780-2541
Mailing Address
JUAN CARLOS VENEGAS
21651 OLD ELSINORE RD
PERRIS, CA 92570
Phone number: 951-662-3395