Individual provider · Type 1 NPI

Ysidro Nieto

Addiction (Substance Use Disorder) Counselor · Glendale, CA

NPI number 1184801698 Active

Practice location

4628 San Fernando Rd
Glendale, CA 91204-1822

Call (818) 240-8843 Map

Fax (818) 240-8885

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1184801698

Ysidro Nieto's National Provider Identifier is 1184801698, issued on Jan 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, CA. The record was last updated on Jan 28, 2008.