Individual provider · Type 1 NPI

Larry Joseph Puentes, SUDRC

Addiction (Substance Use Disorder) Counselor · Stanton, CA

NPI number 1407448533 Active

Practice location

10936 Dale Ave
Stanton, CA 90680-2724

Call (714) 952-4032 Map

Fax (714) 952-4075

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X12773 (CA)

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

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About NPI 1407448533

Larry Joseph Puentes, SUDRC's National Provider Identifier is 1407448533, issued on Feb 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stanton, CA. The record was last updated on Feb 21, 2022.