Individual provider · Type 1 NPI
Altagracia Martinez Madera
Addiction (Substance Use Disorder) Counselor · Montebello, CA
NPI number
1104393941
Active
Practice location
3316 W Beverly Blvd
Montebello, CA 90640-1537
Fax (323) 722-4450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104393941
Altagracia Martinez Madera's National Provider Identifier is 1104393941, issued on Oct 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Montebello, CA. The record was last updated on Oct 31, 2018.