Individual provider · Type 1 NPI

Daniel Nico Libor, SUDCC

Addiction (Substance Use Disorder) Counselor · Costa Mesa, CA

NPI number 1629623582 Active

Practice location

2900 Bristol St Ste E103
Costa Mesa, CA 92626-7906

Call (714) 540-9070 Map

Fax (714) 884-4347

Mailing address

25611 Indian Hill Ln Unit H
Laguna Hills, CA 92653-6099

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9069 (CA)

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

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About NPI 1629623582

Daniel Nico Libor, SUDCC's National Provider Identifier is 1629623582, issued on Aug 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Costa Mesa, CA. The record was last updated on Aug 7, 2019.