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

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