Individual provider · Type 1 NPI
Peter Fajardo, SUBSTANCE ABUSE COUN
Addiction (Substance Use Disorder) Counselor · Long Beach, CA
NPI number
1033323787
Active
Practice location
2385 Pacific Avenue
Long Beach, CA 90806
Fax (562) 336-1404
Mailing address
P.o. Box 9463
Long Beach, CA 90810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9223 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033323787
Peter Fajardo, SUBSTANCE ABUSE COUN's National Provider Identifier is 1033323787, issued on May 10, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Jul 21, 2022.