Individual provider · Type 1 NPI

Daisy Judith Banuelos

Mental Health Counselor · Los Angeles, CA

NPI number 1689215261 Active

Practice location

1224 Vine St
Los Angeles, CA 90038-1612

Call (323) 769-6100 Map

Mailing address

7029 Templeton St
Huntington Park, CA 90255-5005

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1689215261

Daisy Judith Banuelos's National Provider Identifier is 1689215261, issued on Oct 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 7, 2019.