Individual provider · Type 1 NPI

Iris Palacios, COUNSELOR

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1013477934 Active

Practice location

405 W Manchester Blvd Ste A
Inglewood, CA 90301-1196

Fax (310) 672-3822

Mailing address

119 W 110th St
Los Angeles, CA 90061-2013

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XD4933357 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013477934

Iris Palacios, COUNSELOR's National Provider Identifier is 1013477934, issued on Mar 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Mar 25, 2019.