Individual provider · Type 1 NPI

Derek Martin Gaxiola

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1801691332 Active

Practice location

2032 Marengo St
Los Angeles, CA 90033-1319

Call (323) 541-3526 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1801691332

Derek Martin Gaxiola's National Provider Identifier is 1801691332, issued on Feb 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 18, 2025.