Individual provider · Type 1 NPI

Jesus Efren Vital

Addiction (Substance Use Disorder) Counselor · Panorama City, CA

NPI number 1649745282 Active

Practice location

9140 Van Nuys Blvd Ste 211
Panorama City, CA 91402-6764

Call (818) 895-2206 Map

Fax (818) 895-0824

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X5565 (CA)

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

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About NPI 1649745282

Jesus Efren Vital's National Provider Identifier is 1649745282, issued on Oct 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Panorama City, CA. The record was last updated on Oct 10, 2018.