Individual provider · Type 1 NPI

Lena Inez Paulos

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1104693662 Active

Practice location

505 S Pacific Ave
San Pedro, CA 90731-2656

Mailing address

7262 Ewell Way
Stanton, CA 90680-2923

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1531721023 (CA)

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

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About NPI 1104693662

Lena Inez Paulos's National Provider Identifier is 1104693662, issued on Dec 5, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Dec 5, 2023.