Individual provider · Type 1 NPI

Marco Augusto Banuelos Sr.

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

NPI number 1265942759 Active

Practice location

2010 Lincoln Park Ave
Los Angeles, CA 90031-3119

Call (323) 222-1440 Map

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 1265942759

Marco Augusto Banuelos Sr.'s National Provider Identifier is 1265942759, issued on Oct 10, 2017. 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 Oct 10, 2017.