Individual provider · Type 1 NPI

Marisol Latorre Deweese

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1053058909 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Mailing address

1522 E Washington St
Long Beach, CA 90805-6156

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1053058909

Marisol Latorre Deweese's National Provider Identifier is 1053058909, issued on May 12, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 9, 2022.