Individual provider · Type 1 NPI

Andres De Jesus Mayorga, RADT

Addiction (Substance Use Disorder) Counselor · Garden Grove, CA

NPI number 1104657535 Active

Practice location

13222 Chapman Ave
Garden Grove, CA 92840-4414

Call (714) 683-7566 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1562110524 (CA)

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

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About NPI 1104657535

Andres De Jesus Mayorga, RADT's National Provider Identifier is 1104657535, issued on Aug 8, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Garden Grove, CA. The record was last updated on Aug 8, 2024.