Individual provider · Type 1 NPI

Mary Teresa Maldonado

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

NPI number 1447464870 Active

Practice location

2525 Grand Ave
Long Beach, CA 90815-1765

Fax (562) 570-4194

Mailing address

841 Lagoon Ave
Wilmington, CA 90744-4312

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 1447464870

Mary Teresa Maldonado's National Provider Identifier is 1447464870, issued on May 8, 2007. 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 Jul 8, 2007.