Individual provider · Type 1 NPI

Edwin Adan Ballesteros

Addiction (Substance Use Disorder) Counselor · San Fernando, CA

NPI number 1821963307 Active

Practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Fax (747) 500-9405

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22610 (CA)

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

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About NPI 1821963307

Edwin Adan Ballesteros's National Provider Identifier is 1821963307, issued on Oct 6, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Fernando, CA. The record was last updated on Oct 6, 2025.