Individual provider · Type 1 NPI

Martin Gallardo, RADT

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1043917776 Active

Practice location

1003 S Beacon St
San Pedro, CA 90731-4324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1495280123 (CA)

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

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About NPI 1043917776

Martin Gallardo, RADT's National Provider Identifier is 1043917776, issued on Feb 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Feb 13, 2023.