Individual provider · Type 1 NPI

Jacobo Machuca Reyes, BA, CADCIII

Addiction (Substance Use Disorder) Counselor · Inglewood, CA

NPI number 1477068005 Active

Practice location

520 N La Brea Ave
Inglewood, CA 90302-3049

Call (323) 933-9022 Map

Fax (323) 933-4029

Mailing address

3114 Patritti Ave
Baldwin Park, CA 91706-3503

Other practice locations

  • 5825 W Olympic Blvd, Los Angeles, CA 90036-4612 · (323) 933-9022

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB00003761224 (CA)
Counselor 101Y00000XR1282711117 (CA)

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

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About NPI 1477068005

Jacobo Machuca Reyes, BA, CADCIII's National Provider Identifier is 1477068005, issued on Dec 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Inglewood, CA. The record was last updated on Feb 5, 2025.