Individual provider · Type 1 NPI

Mario Mora, SUDRC

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

NPI number 1255957973 Active

Practice location

5723 Whittier Blvd
Los Angeles, CA 90022-4222

Call (323) 721-6855 Map

Mailing address

7320 Exeter St Apt 5
Paramount, CA 90723-3333

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10482 (CA)

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

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About NPI 1255957973

Mario Mora, SUDRC's National Provider Identifier is 1255957973, issued on Jun 18, 2020. 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 Jun 18, 2020.