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ALBERT PROVENCIO
NPI 1336537554
Counselor in Pomona, CA

Active since December 23, 2014
160 E HOLT AVE, B, POMONA, CA 91767(909) 620-2521 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Albert Provencio NPPES

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

ALBERT PROVENCIO (NPI 1336537554) is an individual counselor in Pomona, California and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1336537554
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameALBERT PROVENCIO
Location Address160 E HOLT AVE, BPomona, CA 91767-5406
Mailing Address160 E Holt Ave, BPomona, CA 91767-5406 · (909) 620-2521
Phone(909) 620-2521
Sole ProprietorYes
Enumeration DateDecember 23, 2014
✔ NPI 1336537554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
160 E HOLT AVE, Pomona, CA 91767
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Other Providers at the Same Location NPPES 20

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

CHRISTINA PEROZO
Student in an Organized Health Care Education/Training Program
160 E HOLT AVE
POMONA, CA 91767
Los Angeles County (909) 620-2521
JANELLE GARCIA
Counselor
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
PARISHA MCKEVA MARTIN
Rehabilitation Practitioner
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHANIE AUD
Counselor (Addiction (Substance Use Disorder))
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHEN PEEVY RAS
Counselor (Addiction (Substance Use Disorder))
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
STEPHANIE LAMBOURG
Licensed Psychiatric Technician
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521
MRS. NUBIA REYNA AGUILAR MFT INTERN
Marriage & Family Therapist
160 E HOLT AVE, UNIT B
POMONA, CA 91767
Los Angeles County (909) 620-2521
AMANDA CARRIE AJMAL M.A.
Marriage & Family Therapist
160 E HOLT AVE, B
POMONA, CA 91767
Los Angeles County (909) 620-2521

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 Albert Provencio's NPI number?

The NPI number for Albert Provencio is 1336537554. It was assigned to this individual provider in the NPPES registry on December 23, 2014.

Where is Albert Provencio located?

Albert Provencio practices at 160 E Holt Ave B, Pomona, CA 91767. The listed phone number is (909) 620-2521.

What is Albert Provencio's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Albert Provencio was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.