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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1367801019 (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.