Individual provider · Type 1 NPI

Yanine Mariel Bustos, M.A.

Counselor · Gardena, CA

NPI number 1104171222 Active

Practice location

855 W 130th St, Apt. 6
Gardena, CA 90247-1755

Call (626) 827-6634 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1104171222

Yanine Mariel Bustos, M.A.'s National Provider Identifier is 1104171222, issued on Jul 14, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gardena, CA. The record was last updated on Jul 14, 2012.