Individual provider · Type 1 NPI
Juan Jose Baltazar
Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
NPI number
1134878150
Active
Practice location
305 S Central Ave
Los Angeles, CA 90013-1709
Mailing address
3510 Blanchard St
Los Angeles, CA 90063-3804
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | R1367801019 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1134878150
Juan Jose Baltazar's National Provider Identifier is 1134878150, issued on Mar 18, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 3, 2024.