Individual provider · Type 1 NPI

Jesse Henriquez, CATC

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

NPI number 1295948651 Active

Practice location

672 S La Fayette Park Pl, #6
Los Angeles, CA 90057-3251

Call (213) 381-3626 Map

Mailing address

3211 W 48th St
Los Angeles, CA 90043-5414

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 1295948651

Jesse Henriquez, CATC's National Provider Identifier is 1295948651, issued on May 8, 2007. 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 Aug 25, 2009.