Individual provider · Type 1 NPI

John Farrage

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1336852763 Active

Practice location

239 W 14th St
San Pedro, CA 90731-4337

Call (310) 519-8723 Map

Mailing address

2033 S Crescent Ave
San Pedro, CA 90731-5512

Other practice locations

  • 2033 S Crescent Ave, San Pedro, CA 90731-5512 · (310) 519-8723

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1493871222 (CA)
Counselor 101Y00000XR1493871222 (CA)

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

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About NPI 1336852763

John Farrage's National Provider Identifier is 1336852763, issued on Dec 30, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Dec 30, 2022.