Individual provider · Type 1 NPI
Vienna Monique Patricio, CDC
Addiction (Substance Use Disorder) Counselor · San Pedro, CA
NPI number
1720279730
Active
Practice location
2332 Warmouth St
San Pedro, CA 90732-4554
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1720279730
Vienna Monique Patricio, CDC's National Provider Identifier is 1720279730, issued on Aug 5, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Aug 5, 2007.