Tayra Del Real

NPI #1619504073 in San Dimas, California

Provider Information

NPI Number: 1619504073
Entity Type: Individual
Name: Tayra Del Real
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 25, 2020
Last Updated: Mar 25, 2020

Practice Location

Address: 325 S SAN DIMAS CANYON RD APT 13B
City: San Dimas
State: California
ZIP Code: 91773-3046
Phone: (626) 222-3327

Specialties & Taxonomy Codes

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

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MR. Vernon Albert Holm	Counselor - Addiction (Substance Use Disorder)	San Dimas	AI Deep Dive
Victoria Rodriguez, ADDICTION COUNSELOR	Counselor - Addiction (Substance Use Disorder)	San Dimas	AI Deep Dive
Jesse Gene Campbell	Counselor - Addiction (Substance Use Disorder)	San Dimas	AI Deep Dive
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Organizations

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Reseda Substance Abuse Treatment Center	Counselor - Addiction (Substance Use Disorder)	North Hills	AI Deep Dive

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