Mrs. Geraldine Delafosse
Addiction Counselor (Substance Use Disorder)
600 W Santa Ana Blvd Ste 109
Santa Ana
, California 92701-4582
Mrs. Geraldine Delafosse
Addiction Counselor (Substance Use Disorder)
600 W Santa Ana Blvd Ste 109
Santa Ana
, California 92701-4582
(714) 496-7145
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mrs. Geraldine Delafosse
- 6033 Snowgrass Trl
- Jurupa Valley, CA
- Zip : 92509-4932
- Phone : (714) 496-7145
Second Address
- Mrs. Geraldine Delafosse
- 600 W Santa Ana Blvd Ste 109
- Santa Ana, CA
- Zip : 92701-4582
- Phone : (714) 496-7145
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | R1408041020 | CA |
National Provider Identifier
| NPI | 1003418203 |
|---|---|
| Provider Name | Mrs. Geraldine Delafosse |
| First Address | Jurupa Valley, CA 92509-4932 |
| Second Address | Santa Ana, CA 92701-4582 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/11/2020 |
| Last Update Date | 01/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.