Individual provider · Type 1 NPI

Connie Carson, 040855

Addiction (Substance Use Disorder) Counselor · El Monte, CA

NPI number 1457728024 Active

Practice location

12423 Dahlia Ave
El Monte, CA 91732-3611

Fax (626) 401-2109

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X040855 (CA)

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

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About NPI 1457728024

Connie Carson, 040855's National Provider Identifier is 1457728024, issued on Aug 30, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Monte, CA. The record was last updated on Aug 30, 2015.