Individual provider · Type 1 NPI

Gustavo Mora

Addiction (Substance Use Disorder) Counselor · Van Nuys, CA

NPI number 1437492352 Active

Practice location

14540 Hamlin St Ste I
Van Nuys, CA 91411-4154

Call (818) 997-6876 Map

Mailing address

7225 Bakman Ave Apt 2
Sun Valley, CA 91352-4906

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 1437492352

Gustavo Mora's National Provider Identifier is 1437492352, issued on Mar 28, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Van Nuys, CA. The record was last updated on Mar 28, 2013.