Individual provider · Type 1 NPI

Luis Jesus Maldonado, AOD COUNSELOR

Addiction (Substance Use Disorder) Counselor · Santa Monica, CA

NPI number 1609355155 Active

Practice location

909 Pico Blvd
Santa Monica, CA 90405-1326

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X179970 (CA)

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

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About NPI 1609355155

Luis Jesus Maldonado, AOD COUNSELOR's National Provider Identifier is 1609355155, issued on Aug 7, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Monica, CA. The record was last updated on Aug 7, 2018.