Individual provider · Type 1 NPI

Gina Noemi Peralta, SUDRC#17013

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

NPI number 1346001302 Active

Practice location

5190 Atlantic Ave
Long Beach, CA 90805-6510

Call (562) 428-4111 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17013 (CA)

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

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About NPI 1346001302

Gina Noemi Peralta, SUDRC#17013's National Provider Identifier is 1346001302, issued on Jan 17, 2024. 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 Jan 17, 2024.