Individual provider · Type 1 NPI

Johanna Banuelos, SUD

Addiction (Substance Use Disorder) Counselor · Long Beach, CA

NPI number 1326658634 Active

Practice location

1775 Chestnut Ave
Long Beach, CA 90813-1674

Call (562) 599-8444 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10419 (CA)

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

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About NPI 1326658634

Johanna Banuelos, SUD's National Provider Identifier is 1326658634, issued on Aug 3, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Long Beach, CA. The record was last updated on Sep 9, 2021.