Individual provider · Type 1 NPI

Miguel Mandujano

Addiction (Substance Use Disorder) Counselor · King City, CA

NPI number 1225951684 Active

Practice location

641 Broadway St
King City, CA 93930-3231

Mailing address

311 Mustang Ct
King City, CA 93930-3336

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16529 (CA)

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

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About NPI 1225951684

Miguel Mandujano's National Provider Identifier is 1225951684, issued on Aug 3, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in King City, CA. The record was last updated on Aug 3, 2026.