Individual provider · Type 1 NPI

Edvino De Jesus Teyuca

Addiction (Substance Use Disorder) Counselor · Covina, CA

NPI number 1053200600 Active

Practice location

536 S 2nd Ave Ste D
Covina, CA 91723-3043

Call (213) 864-1718 Map

Mailing address

1936 Cypress Ave Apt 8
Los Angeles, CA 90065-1360

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1053200600

Edvino De Jesus Teyuca's National Provider Identifier is 1053200600, issued on Jun 30, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Covina, CA. The record was last updated on Jun 30, 2025.