MR. Vernon Albert Holm

NPI #1235441510 in San Dimas, California

Provider Information

NPI Number: 1235441510
Entity Type: Individual
Name: MR. Vernon Albert Holm
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jul 2, 2010
Last Updated: Jul 2, 2010

Practice Location

Address: 323 W 2ND ST
City: San Dimas
State: California
ZIP Code: 91773-2029
Phone: (909) 919-8081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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