Provider Demographics
NPI:1649302969
Name:HAMMOND, VERONICA (CAADE)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:CAADE
Other - Prefix:MISS
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:AYALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15128 DEL NORTE DR
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92394-2004
Mailing Address - Country:US
Mailing Address - Phone:760-669-4559
Mailing Address - Fax:951-922-7505
Practice Address - Street 1:63 SOUTH 4TH ST.
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-8183
Practice Address - Country:US
Practice Address - Phone:951-922-7514
Practice Address - Fax:951-922-7505
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)