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DESIREE PROVENCIO
NPI 1205023447
Counselor - Addiction (Substance Use Disorder) in Santa Clarita, CA

Active since October 02, 2007
24625 ARCH ST, SANTA CLARITA, CA 91321(661) 254-6630 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Desiree Provencio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE PROVENCIO (NPI 1205023447) is an individual addiction (substance use disorder) provider in Santa Clarita, California and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1205023447
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDESIREE PROVENCIO
Location Address24625 ARCH STSanta Clarita, CA 91321-1111
Mailing Address26460 Summit CirSanta Clarita, CA 91350-2991
Phone(661) 254-6630
Sole ProprietorYes
Enumeration DateOctober 2, 2007
✔ NPI 1205023447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
24625 ARCH ST, Santa Clarita, CA 91321
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN L REYNOLDS CCAPP
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644
YESSICA PACHECO
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644
MELANIE MAES
Clinic/Center (Rehabilitation, Substance Use Disorder)
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644
ANTHONY CALHOUN
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644
DERRICK FORTUNE
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
SANTA CLARITA, CA 91321
Los Angeles County (661) 288-2644
GUY BALLARD
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
SANTA CLARITA, CA 91321
Los Angeles County (661) 288-2644
ISABEL VACA
Community Health Worker
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644
MS. JENNIFER PELAYO
Counselor (Addiction (Substance Use Disorder))
24625 ARCH ST
NEWHALL, CA 91321
Los Angeles County (661) 288-2644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desiree Provencio's NPI number?

The NPI number for Desiree Provencio is 1205023447. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is Desiree Provencio located?

Desiree Provencio practices at 24625 Arch St, Santa Clarita, CA 91321. The listed phone number is (661) 254-6630.

What is Desiree Provencio's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Desiree Provencio was last updated on October 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.