Individual provider · Type 1 NPI

Gina Monique Banuelos, RRW

Addiction (Substance Use Disorder) Counselor · Hemet, CA

NPI number 1205236015 Active

Practice location

950 N State St, Suite D
Hemet, CA 92543-1485

Call (951) 652-3560 Map

Fax (951) 929-2780

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3339 (CA)

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

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About NPI 1205236015

Gina Monique Banuelos, RRW's National Provider Identifier is 1205236015, issued on Aug 28, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hemet, CA. The record was last updated on Aug 28, 2014.