Individual provider · Type 1 NPI

Mario Chico

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1639717390 Active

Practice location

1245 E Walnut St
Pasadena, CA 91106-1878

Fax (626) 795-0979

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X13592-R (CA)

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

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About NPI 1639717390

Mario Chico's National Provider Identifier is 1639717390, issued on Dec 12, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Dec 12, 2019.