Individual provider · Type 1 NPI

Mikael Merencio

Addiction (Substance Use Disorder) Counselor · Hawthorne, CA

NPI number 1871001792 Active

Practice location

2501 W El Segundo Blvd
Hawthorne, CA 90250-3317

Call (323) 754-2816 Map

Mailing address

9705 Holmes Ave
Los Angeles, CA 90002-3031

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 1871001792

Mikael Merencio's National Provider Identifier is 1871001792, issued on Jan 12, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hawthorne, CA. The record was last updated on Jan 12, 2018.