Individual provider · Type 1 NPI

Juan Trujillo Cuevas Jr., SUDRC I 25243

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1164368114 Active

Practice location

2521 Long Beach Ave
Los Angeles, CA 90058-1324

Call (213) 529-0963 Map

Mailing address

242 W 14th St
San Pedro, CA 90731-4315

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25243 (CA)

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

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About NPI 1164368114

Juan Trujillo Cuevas Jr., SUDRC I 25243's National Provider Identifier is 1164368114, issued on Apr 23, 2026. 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 Apr 23, 2026.